Provider Demographics
NPI:1528709961
Name:HILL TOP PHARMACY LLC
Entity type:Organization
Organization Name:HILL TOP PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OPPONG
Authorized Official - Middle Name:AGYARE
Authorized Official - Last Name:KWATENG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:571-201-9239
Mailing Address - Street 1:11601 DUCKETTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-9704
Mailing Address - Country:US
Mailing Address - Phone:571-201-9239
Mailing Address - Fax:
Practice Address - Street 1:6188 OXON HILL RD STE 400
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3154
Practice Address - Country:US
Practice Address - Phone:240-713-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy