Provider Demographics
NPI:1629639281
Name:HHC ENTERPRISES INC
Entity Type:Organization
Organization Name:HHC ENTERPRISES INC
Other - Org Name:CONWAY'S LTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-397-1420
Mailing Address - Street 1:1451 YAUGER RD STE 1H
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7902
Mailing Address - Country:US
Mailing Address - Phone:740-397-1420
Mailing Address - Fax:740-397-2454
Practice Address - Street 1:1451 YAUGER RD STE 1H
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-7902
Practice Address - Country:US
Practice Address - Phone:740-397-1420
Practice Address - Fax:740-397-2454
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HHC ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-25
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2640351Medicaid