=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285257451
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIGNAL HILL SOLUTIONS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2020
-----------------------------------------------------
Last Update Date | 05/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5718 SIGNAL HILL CT STE B
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45150-1452
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-831-0229
-----------------------------------------------------
Fax | 513-453-4097
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5718 SIGNAL HILL CT STE B
-----------------------------------------------------
City | MILFORD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45150-1452
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-831-0229
-----------------------------------------------------
Fax | 513-453-4097
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/PRESIDENT
-----------------------------------------------------
Name | EDWARD BRITON PALMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-831-0229
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------