Organization
HILLMAN PHARMACY INC
Active
Organization
HILLMAN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN L KANGAS RPH (OWNER)
(989) 742-3527
Entity
Organization
Contact information
Practice address
601 STATE ST, HILLMAN, MI 49746-9511
(989) 742-3527
(989) 742-3567
Mailing address
601 STATE ST, HILLMAN, MI 49746-9511
(989) 742-3527
(989) 742-3567
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2351029
NCPDP
MI
01
—
540F002520
BCBSM DME
MI
05
—
872899122
—
MI
Enumeration date
01/16/2007
Last updated
03/16/2016
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