Healthcare Provider Details
I. General information
NPI: 1912150749
Provider Name (Legal Business Name): NATURES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2008
Last Update Date: 07/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
752 BILTMORE AVE
ASHEVILLE NC
28803-2558
US
IV. Provider business mailing address
752 BILTMORE AVE
ASHEVILLE NC
28803-2558
US
V. Phone/Fax
- Phone: 828-251-0094
- Fax: 828-251-0064
- Phone: 828-251-0094
- Fax: 828-251-0064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 06491 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ROGERS
Title or Position: OWNER
Credential: PHARMD
Phone: 828-251-0094