Healthcare Provider Details

I. General information

NPI: 1730710534
Provider Name (Legal Business Name): HITCHCOCK RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23010 HIGHWAY 5
WEST BLOCTON AL
35184-2672
US

IV. Provider business mailing address

23010 HIGHWAY 5
WEST BLOCTON AL
35184-2672
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-9588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: EMILY PINON
Title or Position: MANAGER
Credential:
Phone: 205-938-9588