Organization
T&J ENTERPRISE LLC
Active
Other names
HILGERS FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HILGERS RPH (OWNER/MGR)
(316) 253-4384
Entity
Organization
Contact information
Practice address
1630 OHIO ST, AUGUSTA, KS 67010-2142
(316) 262-2001
(316) 775-3469
Mailing address
1630 OHIO ST, AUGUSTA, KS 67010-2142
(316) 775-3714
(316) 775-3469
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10334
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200717780A
—
KS
05
—
200717780B
—
KS
01
—
2129880
PK
—
Enumeration date
04/08/2011
Last updated
03/17/2017
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