Organization
HILL DERM PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY S ROTH (PRESIDENT)
(407) 323-1887
Entity
Organization
Contact information
Practice address
3065 S. MELLONVILLE AVE STE B, SANFORD, FL 32773
(407) 585-6060
(407) 585-6065
Mailing address
2650 S MELLONVILLE AVE, SANFORD, FL 32773-9311
(407) 323-1887
(407) 649-9213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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