Provider Demographics
NPI:1427134725
Name:HERREN HILL PHARMACY,INC.
Entity type:Organization
Organization Name:HERREN HILL PHARMACY,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:HERREN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-252-8800
Mailing Address - Street 1:24 HERREN HILL RD
Mailing Address - Street 2:
Mailing Address - City:TALLASSEE
Mailing Address - State:AL
Mailing Address - Zip Code:36078-1254
Mailing Address - Country:US
Mailing Address - Phone:334-252-8800
Mailing Address - Fax:334-252-8688
Practice Address - Street 1:24 HERREN HILL RD
Practice Address - Street 2:
Practice Address - City:TALLASSEE
Practice Address - State:AL
Practice Address - Zip Code:36078-1254
Practice Address - Country:US
Practice Address - Phone:334-252-8800
Practice Address - Fax:334-252-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty