Healthcare Provider Details
I. General information
NPI: 1659327146
Provider Name (Legal Business Name): PHARM-SAVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2545 JETPORT RD
KINSTON NC
28504-7339
US
IV. Provider business mailing address
2545 JETPORT RD
KINSTON NC
28504-7339
US
V. Phone/Fax
- Phone: 800-735-9111
- Fax: 800-362-0393
- Phone: 800-735-9111
- Fax: 800-362-0393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | 04428 |
| License Number State | NC |
VIII. Authorized Official
Name:
ROSS
BRICKLEY
Title or Position: VP PHARMACY SERVICES
Credential: BS, MBA
Phone: 800-735-9111