Healthcare Provider Details
I. General information
NPI: 1891066049
Provider Name (Legal Business Name): DRUGCO SPECIALTY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2012
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
63 GOLF COURSE RD
LITTLETON NC
27850-9445
US
IV. Provider business mailing address
63 GOLF COURSE RD
LITTLETON NC
27850-9445
US
V. Phone/Fax
- Phone: 252-519-1140
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
C
HUGGINS
Title or Position: CHIEF OPERATING OFFICER
Credential: PHARMD
Phone: 252-519-1140