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NPI Code Detail

MEDICARE: HILLTOP PHARMACY INC

MEDICARE: HILLTOP PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
23336L0003XLong Term Care Pharmacy19280TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12091254OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396756979
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLTOP PHARMACY INC
Provider Business Mailing Address
First Line : 631 LAKEVIEW BLVD
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-4017
Country : US
Telephone Number : 830-627-0069
Fax Number : 830-627-0093
Provider Business Practice Location Address
First Line : 631 LAKEVIEW BLVD
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130-4017
Country : US
Telephone Number : 830-627-0069
Fax Number : 830-627-0093
Authorized Official
Title or Position : PIC
Name : RUSSELL VOLLBRECHT
Credential :
Telephone Number : 830-627-0069
Provider Enumeration Date : 08/10/2006
Last Update Date : 12/16/2016

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Directions to “HILLTOP PHARMACY INC ” Practice Location

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