Organization
HILL PHARMACEUTICALS LLC
Active
Other names
Glenn's Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
TASHENA HILL PHARMD (OWNER)
(270) 704-6220
Entity
Organization
Contact information
Practice address
520 W GUM ST, MARION, KY 42064-1516
(270) 965-4101
(270) 965-9957
Mailing address
520 W GUM ST, PO BOX 366, MARION, KY 42064-1516
(270) 965-4101
(270) 965-9957
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2159791
CLIA WAIVER
KY
01
—
2148576
PK
—
05
—
7100335570
—
KY
Enumeration date
07/08/2006
Last updated
08/18/2020
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