Individual
CHARLES PHILLIP HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1000 STONE RD, KILGORE, TX 75662-5476
(903) 984-0646
Mailing address
4404 LAZY CREEK DR, TYLER, TX 75707-1568
(903) 240-1852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042081
TX
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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