Provider Demographics
NPI:1356606792
Name:HMR OF ALABAMA INC
Entity type:Organization
Organization Name:HMR OF ALABAMA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT - OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:HEYWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-224-3898
Mailing Address - Street 1:HMR OF ALABAMA RLH PHARMACY
Mailing Address - Street 2:P.O. BOX 5285
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29623
Mailing Address - Country:US
Mailing Address - Phone:864-224-3898
Mailing Address - Fax:864-224-3609
Practice Address - Street 1:7054 VETERANS PKWY
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-5117
Practice Address - Country:US
Practice Address - Phone:864-224-3898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1801943336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135835OtherPK