Provider Demographics
NPI:1891901757
Name:HILLCROFT PHARMACY, INC
Entity Type:Organization
Organization Name:HILLCROFT PHARMACY, INC
Other - Org Name:HILLCROFT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-693-3492
Mailing Address - Street 1:5111 LARKIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007
Mailing Address - Country:US
Mailing Address - Phone:832-693-3492
Mailing Address - Fax:
Practice Address - Street 1:6400 HILLCROFT ST
Practice Address - Street 2:107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3106
Practice Address - Country:US
Practice Address - Phone:713-988-9996
Practice Address - Fax:713-988-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4544741OtherNCPDP NUMBER
TX25524OtherSTATE PHARMCY LICENSE