Healthcare Provider Details
I. General information
NPI: 1609874908
Provider Name (Legal Business Name): HILL'S PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2005
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 TRAMMEL ST
LIBERTY KY
42539-3165
US
IV. Provider business mailing address
33 TRAMMEL ST
LIBERTY KY
42539-3165
US
V. Phone/Fax
- Phone: 606-787-8000
- Fax:
- Phone: 606-787-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
HILL
Title or Position: OWNER
Credential: RPH
Phone: 606-787-8000