Healthcare Provider Details

I. General information

NPI: 1124301098
Provider Name (Legal Business Name): ONE STOP PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2011
Last Update Date: 09/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NEW WAVERLY PLACE SUITE 301
CARY NC
27518
US

IV. Provider business mailing address

PO BOX 90216
RALEIGH NC
27675-0216
US

V. Phone/Fax

Practice location:
  • Phone: 919-387-8468
  • Fax: 919-851-3381
Mailing address:
  • Phone: 919-387-8468
  • Fax: 919-851-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number11097
License Number StateNC

VIII. Authorized Official

Name: TONY C GURLEY
Title or Position: PHARMACY MANGER
Credential:
Phone: 919-865-9993