Provider Demographics
NPI:1255561478
Name:HIERS ENTERPRISES
Entity type:Organization
Organization Name:HIERS ENTERPRISES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:HIERS
Authorized Official - Suffix:IV
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:541-672-8399
Mailing Address - Street 1:1350 NE STEPHENS ST
Mailing Address - Street 2:SUITE 42
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-6418
Mailing Address - Country:US
Mailing Address - Phone:541-672-8399
Mailing Address - Fax:541-672-8330
Practice Address - Street 1:1350 NE STEPHENS ST
Practice Address - Street 2:SUITE 42
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-6418
Practice Address - Country:US
Practice Address - Phone:541-672-8399
Practice Address - Fax:541-672-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRP-0001597-CS333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3813311OtherNABP
3813311OtherNABP