Provider Demographics
NPI:1871624460
Name:HILL'S PHARMACY INC
Entity type:Organization
Organization Name:HILL'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:606-787-8321
Mailing Address - Street 1:33 TRAMMEL ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:42539-3165
Mailing Address - Country:US
Mailing Address - Phone:606-787-8321
Mailing Address - Fax:606-787-8190
Practice Address - Street 1:33 TRAMMEL ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:42539-3165
Practice Address - Country:US
Practice Address - Phone:606-787-8321
Practice Address - Fax:606-787-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1080183500000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90010232Medicaid
KY54014261Medicaid
KY1809649OtherNCPDP
KY90010232Medicaid