Hillrise Pharmacy Llc

LBN: Hillrise Pharmacy Llc
Hillrise Pharmacy Llc is an health care organization with primary practice located at 4240 N Broad St , Philadelphia PA 19140-1908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Hillrise Pharmacy Llc can be contacted via phone (215) 403-7300, or through Badejoko, Omotayo Olufemi via phone (215) 403-7300.

Contact Information

Primary practice address
4240 N Broad St Philadelphia PA 19140-1908
Phone: (215) 403-7300
Fax: (267) 335-3937
Website:
Map and Directions
Authorized official contact:
Name: Badejoko, Omotayo Olufemi
Phone: (215) 403-7300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104490143
LBN Legal business name Hillrise Pharmacy Llc
DBA Doing business as
Authorized official Badejoko, Omotayo Olufemi
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2021
Last updated May 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104490143 NPPES
Pennsylvania MEDICAID 103114017

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