Provider Demographics
NPI:1730995416
Name:HILLEGASS, COLBY (RPH)
Entity type:Individual
Prefix:
First Name:COLBY
Middle Name:
Last Name:HILLEGASS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SCHELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15559-8507
Mailing Address - Country:US
Mailing Address - Phone:814-505-8645
Mailing Address - Fax:
Practice Address - Street 1:510 E PITT ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1444
Practice Address - Country:US
Practice Address - Phone:814-623-1188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist