Provider Demographics
NPI:1194829168
Name:HILLS PILLS AND SUNDRIES
Entity Type:Organization
Organization Name:HILLS PILLS AND SUNDRIES
Other - Org Name:DE LEON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:214-605-9706
Mailing Address - Street 1:309 S TEXAS ST
Mailing Address - Street 2:
Mailing Address - City:DE LEON
Mailing Address - State:TX
Mailing Address - Zip Code:76444-1945
Mailing Address - Country:US
Mailing Address - Phone:254-893-2666
Mailing Address - Fax:254-893-4454
Practice Address - Street 1:309 S TEXAS ST
Practice Address - Street 2:
Practice Address - City:DE LEON
Practice Address - State:TX
Practice Address - Zip Code:76444-1945
Practice Address - Country:US
Practice Address - Phone:254-893-2666
Practice Address - Fax:254-893-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX292573336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146338OtherPK
TX146974Medicaid
TX146974Medicaid