Provider Demographics
NPI:1891744546
Name:HILL'S DRUG STORE, INC.
Entity Type:Organization
Organization Name:HILL'S DRUG STORE, INC.
Other - Org Name:HILLS DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER PHARMACY
Authorized Official - Phone:210-225-7283
Mailing Address - Street 1:705 KIRK PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78226-1407
Mailing Address - Country:US
Mailing Address - Phone:210-225-7283
Mailing Address - Fax:210-226-2637
Practice Address - Street 1:705 KIRK PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78226-1407
Practice Address - Country:US
Practice Address - Phone:210-225-7283
Practice Address - Fax:210-226-2637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
TX169083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0916348-01Medicaid
2092465OtherPK