Organization
XINIM CORPORATION
Active
Other names
Holly Hill Pharmacy Home Infusion Services, Holly Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HILL PHARMD (DPT)
(386) 677-7377
Entity
Organization
Contact information
Practice address
1702 RIDGEWOOD AVE, SUITE A - G, HOLLY HILL, FL 32117-5416
(386) 677-7377
(386) 677-0739
Mailing address
1702 RIDGEWOOD AVE, SUITE C, HOLLY HILL, FL 32117-5416
(386) 677-7377
(386) 677-0739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299994706
FL
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PH9050
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH9050
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH9050
FL
333600000X
Pharmacy
Primary
PH 9050
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH9050
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103813400
—
FL
Enumeration date
07/22/2005
Last updated
04/19/2021
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