Healthcare Provider Details

I. General information

NPI: 1376655282
Provider Name (Legal Business Name): HILLSBORO PHARMACEUTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 W ELM ST
HILLSBORO TX
76645-2036
US

IV. Provider business mailing address

PO BOX 405
HILLSBORO TX
76645-0405
US

V. Phone/Fax

Practice location:
  • Phone: 254-582-2561
  • Fax: 254-582-9595
Mailing address:
  • Phone: 254-582-2561
  • Fax: 254-582-9595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4244
License Number StateTX

VIII. Authorized Official

Name: JOE CUNNINGHAM
Title or Position: PHARMACIST OWNER
Credential: PHARMD
Phone: 254-582-2561