Organization
HILL PHARMACEUTICALS LLC
Active
Other names
Glenn's Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASHENA ELIZABETH HILL PHARMD (AUTHORIZED OFFICIAL, OWNER)
(270) 988-3226
Entity
Organization
Contact information
Practice address
119 E MAIN ST, SALEM, KY 42078-9998
(270) 988-3226
(270) 988-4357
Mailing address
119 E MAIN ST, PO BOX 316, SALEM, KY 42078-9998
(270) 988-3226
(270) 988-4357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18D2159792
CLIA WAIVER
KY
01
—
2148578
PK
—
05
—
710335670
—
KY
Enumeration date
07/08/2006
Last updated
08/18/2020
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