Organization
HILLRISE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SATISH YELAMANCHILI (OWNER)
(816) 699-1889
Entity
Organization
Contact information
Practice address
2906 HILLRISE DR, LAS CRUCES, NM 88011-4702
(575) 652-4499
(575) 323-3036
Mailing address
2906 HILLRISE DR, LAS CRUCES, NM 88011-4702
(575) 652-4499
(575) 323-3036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6465587
LLC
NM
Enumeration date
07/23/2021
Last updated
07/23/2021
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