Provider Demographics
NPI:1891333159
Name:HILLS COMMUNITY PHARMACY
Entity Type:Organization
Organization Name:HILLS COMMUNITY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-915-5410
Mailing Address - Street 1:24755 FORD RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1101
Mailing Address - Country:US
Mailing Address - Phone:313-915-5455
Mailing Address - Fax:
Practice Address - Street 1:24755 FORD RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1101
Practice Address - Country:US
Practice Address - Phone:313-915-5455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy