Provider Demographics
NPI:1831671932
Name:GREENHILL SPECIALTY PHARMACY LLC
Entity Type:Organization
Organization Name:GREENHILL SPECIALTY PHARMACY LLC
Other - Org Name:IVIRA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:CHINU
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:302-499-8727
Mailing Address - Street 1:2500 W 4TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3352
Mailing Address - Country:US
Mailing Address - Phone:302-499-8727
Mailing Address - Fax:302-499-8729
Practice Address - Street 1:2500 W 4TH ST # 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3367
Practice Address - Country:US
Practice Address - Phone:302-499-8727
Practice Address - Fax:302-499-8729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy