Provider Demographics
NPI:1689977712
Name:HILLTOP HEALTH INC
Entity Type:Organization
Organization Name:HILLTOP HEALTH INC
Other - Org Name:MCHILLS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:352-394-1333
Mailing Address - Street 1:PO BOX 120665
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-0665
Mailing Address - Country:US
Mailing Address - Phone:352-394-1333
Mailing Address - Fax:352-394-1334
Practice Address - Street 1:1158 5TH ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3008
Practice Address - Country:US
Practice Address - Phone:352-394-1333
Practice Address - Fax:352-394-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-12
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003378901Medicaid
FL003378901Medicaid