Provider Demographics
NPI:1821629932
Name:DOCTORS PHARMACY HILLTOP LLC
Entity Type:Organization
Organization Name:DOCTORS PHARMACY HILLTOP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:WOBIL
Authorized Official - Last Name:QUAINOO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:614-641-9687
Mailing Address - Street 1:4878 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-1602
Mailing Address - Country:US
Mailing Address - Phone:614-641-9687
Mailing Address - Fax:
Practice Address - Street 1:2575 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3333
Practice Address - Country:US
Practice Address - Phone:614-641-9687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy