Healthcare Provider Details

I. General information

NPI: 1164803698
Provider Name (Legal Business Name): AFFINITY SPECIALTY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 TUNNEL RD BLDG 3
ASHEVILLE NC
28805-2014
US

IV. Provider business mailing address

1070 TUNNEL RD
ASHEVILLE NC
28805-2014
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-3636
  • Fax: 828-298-8190
Mailing address:
  • Phone: 828-298-3636
  • Fax: 828-298-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRADLEY WILLIAM MELSON
Title or Position: PHARMACY MANAGER
Credential: PHARM.D.
Phone: 828-298-3636