Provider Demographics
NPI:1619028602
Name:NORTH HILLS PHARMACY INC.
Entity Type:Organization
Organization Name:NORTH HILLS PHARMACY INC.
Other - Org Name:MEDIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:501-562-3740
Mailing Address - Street 1:PO BOX 45785
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72214-5785
Mailing Address - Country:US
Mailing Address - Phone:501-562-3740
Mailing Address - Fax:
Practice Address - Street 1:6221 COLONEL GLENN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-7731
Practice Address - Country:US
Practice Address - Phone:501-562-3740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR20166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0419653OtherNABP
BM6218576OtherDEA