NPI 1154475507 · live from the CMS NPI Registry
Atlantic Hlth Resources INC
Pharmacy, Specialty Pharmacy in Davidson, NC. National Provider Identifier 1154475507, active.
NPI record
| NPI | 1154475507 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Specialty Pharmacy 3336S0011X |
| Practice location | 582 Davidson Gateway Dr, Davidson, NC 28036 |
| Practice phone | 704-895-6527 |
| Mailing address | Po Box 1405, Davidson, NC 28036 |
| Enumerated | January 23, 2007 |
| Last updated | May 28, 2010 |
| Authorized official | Craig Blaney, Pic |
| Other names | Atlantic Hlth Resources INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — |
| Pharmacy, Specialty Pharmacy primary | 3336S0011X | 09263 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.