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General NPI Number Information
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NPI Number | 1245123264
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Entity Type | Organization
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Legal Business Name | HIL PHARMACY, LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 6230 OLD DOBBIN LN STE 160
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City | COLUMBIA
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State | MD
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Zip | 21045-5809
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Country | US
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Telephone | 410-600-3770
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Fax | 410-600-3770
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Provider Business Mailing Address
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Address Line | 6230 OLD DOBBIN LN STE 160
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City | COLUMBIA
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State | MD
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Zip | 21045-5809
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Country | US
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Telephone | 410-600-3770
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Fax | 410-600-3770
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Authorized Official
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Title or Position | PROJECT DIRECTOR
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Name | DR. OLAIDE ISRAEL AYEGBUSI
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Credential | PHARM D
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Telephone | 410-600-3770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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