Healthcare Provider Details

I. General information

NPI: 1194829168
Provider Name (Legal Business Name): HILLS PILLS AND SUNDRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S TEXAS ST
DE LEON TX
76444-1945
US

IV. Provider business mailing address

309 S TEXAS ST
DE LEON TX
76444-1945
US

V. Phone/Fax

Practice location:
  • Phone: 254-893-2666
  • Fax: 254-893-4454
Mailing address:
  • Phone: 254-893-2666
  • Fax: 254-893-4454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number29257
License Number StateTX

VIII. Authorized Official

Name: ARDEN HILL
Title or Position: DR.
Credential: PHARMD
Phone: 214-605-9706