Provider Demographics
NPI:1245123264
Name:HIL PHARMACY, LLC
Entity type:Organization
Organization Name:HIL PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLAIDE ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AYEGBUSI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:410-600-3770
Mailing Address - Street 1:6230 OLD DOBBIN LN STE 160
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5809
Mailing Address - Country:US
Mailing Address - Phone:410-600-3770
Mailing Address - Fax:410-600-3770
Practice Address - Street 1:6230 OLD DOBBIN LN STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5809
Practice Address - Country:US
Practice Address - Phone:410-600-3770
Practice Address - Fax:410-600-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy