Healthcare Provider Details

I. General information

NPI: 1467467019
Provider Name (Legal Business Name): MEDISAVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 S COLLEGE RD
WILMINGTON NC
28403-5546
US

IV. Provider business mailing address

PO BOX 485
WRIGHTSVILLE BEACH NC
28480-0485
US

V. Phone/Fax

Practice location:
  • Phone: 910-452-7098
  • Fax: 910-452-7091
Mailing address:
  • Phone: 910-452-7098
  • Fax: 910-452-7091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number05304
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HAROLD KING
Title or Position: SECRETARY/OWNER
Credential: RPH,CDM
Phone: 910-452-7098