Organization
THE EDDICK CORPORATION
Active
Other names
Hillcrest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BAYER (PRESIDENT)
(940) 552-9501
Entity
Organization
Contact information
Practice address
1015 HILLCREST DR, STE B, VERNON, TX 76384-3100
(940) 552-9501
(940) 552-2075
Mailing address
1015 HILLCREST DR, STE B, VERNON, TX 76384-3100
(940) 552-9501
(940) 552-2075
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27260
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128266
PK
—
Enumeration date
12/01/2005
Last updated
07/17/2024
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