Provider Demographics
NPI:1033656327
Name:HYER HEALTH LLC
Entity Type:Organization
Organization Name:HYER HEALTH LLC
Other - Org Name:KING'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-547-4995
Mailing Address - Street 1:16 WAYNE BROOKS LN
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-9602
Mailing Address - Country:US
Mailing Address - Phone:828-516-9950
Mailing Address - Fax:
Practice Address - Street 1:16 WAYNE BROOKS LN
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-9602
Practice Address - Country:US
Practice Address - Phone:828-516-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NC120983336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167326OtherPK