Healthcare Provider Details
I. General information
NPI: 1497701098
Provider Name (Legal Business Name): PHARM-SAVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
947 N MAIN ST
MOORESVILLE NC
28115-2355
US
IV. Provider business mailing address
947 N MAIN ST
MOORESVILLE NC
28115-2355
US
V. Phone/Fax
- Phone: 704-664-9600
- Fax: 800-578-1672
- Phone: 704-664-9600
- Fax: 800-578-1672
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | 4780 |
| License Number State | NC |
VIII. Authorized Official
Name: MR.
THOMAS
M
D'ANDREA
Title or Position: VICE PRESIDENT OF PHARMACY SERVICES
Credential: RPH
Phone: 252-522-3030