Provider Demographics
NPI:1568020782
Name:HYLANDS PHARMACY LLC
Entity Type:Organization
Organization Name:HYLANDS PHARMACY LLC
Other - Org Name:HYLAND'S PHARMACY LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST IS CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCENTIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-826-5561
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:WHEELER
Mailing Address - State:TX
Mailing Address - Zip Code:79096-0230
Mailing Address - Country:US
Mailing Address - Phone:806-826-5561
Mailing Address - Fax:806-826-5655
Practice Address - Street 1:108 W OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:WHEELER
Practice Address - State:TX
Practice Address - Zip Code:79096-2416
Practice Address - Country:US
Practice Address - Phone:806-826-5561
Practice Address - Fax:806-826-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy