Healthcare Provider Details

I. General information

NPI: 1417871310
Provider Name (Legal Business Name): HILLIARD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551770 US HIGHWAY 1
HILLIARD FL
32046-8820
US

IV. Provider business mailing address

551770 US HIGHWAY 1
HILLIARD FL
32046-8820
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 TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TERRY THIGPEN
Title or Position: PRESIDENT
Credential:
Phone: 904-845-3371