Provider Demographics
NPI:1003335597
Name:HILLSIDE RX INC
Entity Type:Organization
Organization Name:HILLSIDE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SULAIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-739-7777
Mailing Address - Street 1:15922 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3936
Mailing Address - Country:US
Mailing Address - Phone:718-739-7777
Mailing Address - Fax:718-739-7775
Practice Address - Street 1:159-22 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-739-7777
Practice Address - Fax:718-739-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy