Provider Demographics
NPI:1790406460
Name:HILL CITY PHARMACY INC
Entity Type:Organization
Organization Name:HILL CITY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-237-2221
Mailing Address - Street 1:1215 GREENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2705
Mailing Address - Country:US
Mailing Address - Phone:434-941-4000
Mailing Address - Fax:
Practice Address - Street 1:819 VILLAGE HWY
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-4464
Practice Address - Country:US
Practice Address - Phone:434-608-4040
Practice Address - Fax:434-608-4042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILL CITY PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy