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General NPI Number Information
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NPI Number | 1730955303
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Entity Type | Organization
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Legal Business Name | HILLTOP PHARMACY, LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1223 E DIVISION ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4101
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Country | US
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Telephone | 360-708-9927
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Fax | 360-428-7847
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Provider Business Mailing Address
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Address Line | 1223 E DIVISION ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4101
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Country | US
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Telephone | 360-708-9927
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Fax | 360-428-7847
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Authorized Official
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Title or Position | PRESIDENT, PHARMACIST IN CHARGE
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Name | MR. KEVIN MICHAEL BINGHAM
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Credential | R.PH.
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Telephone | 360-708-9927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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