Provider Demographics
NPI:1588919435
Name:MATSON, HILLARY ANNE (RPH, PHARM D)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:ANNE
Last Name:MATSON
Suffix:
Gender:F
Credentials:RPH, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SHAKER RD STE 7
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1595
Mailing Address - Country:US
Mailing Address - Phone:518-915-7900
Mailing Address - Fax:
Practice Address - Street 1:475 SHAKER RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-1581
Practice Address - Country:US
Practice Address - Phone:518-915-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY56809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist