MEDICARE: HILLCREST PHARMACY

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	28RS00378600	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3100043	OTHER	NJ	NABP#

General Provider Information

NPI Number	:	1851374490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLCREST PHARMACY

Provider Business Mailing Address
First Line	:	6012 WESTFIELD AVE
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-1720
Country	:	US
Telephone Number	:	856-663-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6012 WESTFIELD AVE
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-1720
Country	:	US
Telephone Number	:	856-663-0700
Fax Number	:

Authorized Official
Title or Position	:	CHIEF PHARMACIST
Name	:	MR. DILESH RAMESH PATEL
Credential	:	R.P
Telephone Number	:	856-663-0700

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/22/2020

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Directions to “HILLCREST PHARMACY ” Practice Location

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