Provider Demographics
NPI:1164437794
Name:UNION HILL PHARMACY INC
Entity Type:Organization
Organization Name:UNION HILL PHARMACY INC
Other - Org Name:UNION HILL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:732-972-2333
Mailing Address - Street 1:324 US HWY RTE 9 N
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:324 US HWY RTE 9 N
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-972-2333
Practice Address - Fax:732-972-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS005675003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3129536OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NJ8770701Medicaid
NJ8770701Medicaid