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General NPI Number Information
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NPI Number | 1437287901
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Entity Type | Organization
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Legal Business Name | HILBISH DRUG, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 606 LINCOLNWAY
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City | LA PORTE
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State | IN
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Zip | 46350-3352
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Country | US
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Telephone | 219-362-2247
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Fax | 219-324-4685
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Provider Business Mailing Address
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Address Line | 606 LINCOLNWAY
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City | LA PORTE
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State | IN
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Zip | 46350-3352
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Country | US
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Telephone | 219-362-2247
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Fax | 219-324-4685
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS F HILBISH
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Credential | PHARMACIST
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Telephone | 219-362-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 60000760A
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License Number State | IN
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