Healthcare Provider Details

I. General information

NPI: 1245210434
Provider Name (Legal Business Name): ROCK CREEK PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 03/07/2023
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6799 WARRIOR RIVER RD STE.101
BESSEMER AL
35023-8001
US

IV. Provider business mailing address

6817 WARRIOR RIVER RD STE 101
BESSEMER AL
35023-5602
US

V. Phone/Fax

Practice location:
  • Phone: 205-497-8777
  • Fax: 205-497-8797
Mailing address:
  • Phone: 205-497-8777
  • Fax: 205-497-8797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERI H ANDERS
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 205-497-8777