Organization
HILL PHARMACEUTICALS LLC
Active
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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