Provider Demographics
NPI:1013880491
Name:HILTON HEAD PHARMACY
Entity type:Organization
Organization Name:HILTON HEAD PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:843-757-4999
Mailing Address - Street 1:5 PARK LN STE B
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3426
Mailing Address - Country:US
Mailing Address - Phone:803-361-8650
Mailing Address - Fax:843-757-1034
Practice Address - Street 1:5 PARK LN STE B
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3426
Practice Address - Country:US
Practice Address - Phone:803-361-8650
Practice Address - Fax:843-757-1034
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILTON HEAD PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty