Organization
HILLIARD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN THIGPEN RPH (PRESIDENT)
(904) 845-3371
Entity
Organization
Contact information
Practice address
551770 US HIGHWAY 1, HILLIARD, FL 32046-8820
(904) 845-3371
(904) 845-3669
Mailing address
PO BOX 250, HILLIARD, FL 32046-0250
(904) 845-3371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048859
OTHER ID NUMBER
—
05
—
105227600
—
FL
Enumeration date
08/23/2006
Last updated
09/21/2010
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