1548364557 NPI number — MRS. CAROLYN E HILSCHER RPH PHARMACIST

Table of content: MRS. CAROLYN E HILSCHER RPH PHARMACIST (NPI 1548364557)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548364557 NPI number — MRS. CAROLYN E HILSCHER RPH PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILSCHER
Provider First Name:
CAROLYN
Provider Middle Name:
E
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH PHARMACIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548364557
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1503
Provider Second Line Business Mailing Address:
CAROLYN E HILSCHER
Provider Business Mailing Address City Name:
SHINER
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77984
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
361-594-2394
Provider Business Mailing Address Fax Number:
361-594-3629

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
408 N AVE B
Provider Second Line Business Practice Location Address:
SHINER FAMILY PHARMACY INC
Provider Business Practice Location Address City Name:
SHINER
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-594-2394
Provider Business Practice Location Address Fax Number:
361-594-3629
Provider Enumeration Date:
09/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  28852 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 144135 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 28852 . This is a "RPH LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".