Provider Demographics
NPI:1700838984
Name:HILBERT'S PHARMACY INC.
Entity Type:Organization
Organization Name:HILBERT'S PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-264-4503
Mailing Address - Street 1:1220 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-4905
Mailing Address - Country:US
Mailing Address - Phone:610-264-4503
Mailing Address - Fax:610-264-4421
Practice Address - Street 1:1220 3RD ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-4905
Practice Address - Country:US
Practice Address - Phone:610-264-4503
Practice Address - Fax:610-264-4421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411044L332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0963340Medicaid
PA0963340Medicaid