Organization
HILAND PHARMACY INC
Active
Other names
Hiland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JON PRATKANIS (PRESIDENT/OWNER)
(724) 543-2504
Entity
Organization
Contact information
Practice address
231 BUTLER RD, KITTANNING, PA 16201-1958
(724) 543-2504
(724) 545-3208
Mailing address
231 BUTLER RD, KITTANNING, PA 16201-1958
(724) 543-2504
(724) 545-3208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481910
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3991925
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/27/2009
Last updated
08/11/2009
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