Organization Name: | ANDERSON CREEK PHARMACY INC |
NPI Number: | 1871899617 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA FIPPS-WHITE (PRESIDENT) |
Mailing Address: | 6779 Overhills Rd Spring Lake |
State: | NC US |
Postal Code: | 28390 |
Phone Number: | 9104976337 |
Fax Number: | 9104970590 |
NPI Enumeration Date: | 01/26/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 10928 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |