Provider Demographics
NPI:1881205698
Name:HILL COUNTRY PHARMACARE, LLC
Entity Type:Organization
Organization Name:HILL COUNTRY PHARMACARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:888-402-2231
Mailing Address - Street 1:14001 HWY 29 SUITE 202A
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642
Mailing Address - Country:US
Mailing Address - Phone:888-402-2231
Mailing Address - Fax:888-905-0581
Practice Address - Street 1:14001 HWY 29 SUITE 202A
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642
Practice Address - Country:US
Practice Address - Phone:888-102-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy