Healthcare Provider Details

I. General information

NPI: 1073629713
Provider Name (Legal Business Name): HILLIARD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551770 US HWY 1
HILLIARD FL
32046
US

IV. Provider business mailing address

551770 US HWY 1
HILLIARD FL
32046
US

V. Phone/Fax

Practice location:
  • Phone: 904-845-3371
  • Fax: 904-845-3669
Mailing address:
  • Phone: 904-845-3371
  • Fax: 904-845-3669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH427
License Number StateFL

VIII. Authorized Official

Name: MR. ROBERT TERRY THIGPEN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 912-614-3314