Provider Demographics
NPI:1598505448
Name:HILL COUNTRY DRUG LLC
Entity type:Organization
Organization Name:HILL COUNTRY DRUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:THAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:830-964-3615
Mailing Address - Street 1:PO BOX 2229
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-0009
Mailing Address - Country:US
Mailing Address - Phone:830-964-3615
Mailing Address - Fax:830-964-2553
Practice Address - Street 1:1395 SATTLER RD STE 8
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-2296
Practice Address - Country:US
Practice Address - Phone:830-964-3615
Practice Address - Fax:830-964-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy