Organization
HILLIARD DRUGS INC
Active
Other names
HILLIARD DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PETRUCCI RPH. (PRESIDENT)
(903) 396-2214
Entity
Organization
Contact information
Practice address
1001 NW 2ND ST STE 300, KERENS, TX 75144-2424
(903) 396-2214
(903) 396-7588
Mailing address
1001 NW 2ND ST STE 300, KERENS, TX 75144-2424
(903) 396-2214
(903) 396-7588
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149353
—
TX
01
—
2097978
PK
—
Enumeration date
08/18/2006
Last updated
12/21/2016
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