Individual
DR. PHILLIP HIVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11227 SAN MATEO DR APT A, LOMA LINDA, CA 92354-3274
(817) 797-1254
Mailing address
11227 SAN MATEO DR APT A, LOMA LINDA, CA 92354-3274
(817) 797-1254
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
68618
CA
Other
Enumeration date
06/29/2017
Last updated
10/08/2019
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