Healthcare Provider Details

I. General information

NPI: 1619086725
Provider Name (Legal Business Name): YORK DRUG INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

498 WYTHE CREEK RD
POQUOSON VA
23662-1936
US

IV. Provider business mailing address

498 WYTHE CREEK RD
POQUOSON VA
23662-1936
US

V. Phone/Fax

Practice location:
  • Phone: 757-868-7114
  • Fax: 757-868-7922
Mailing address:
  • Phone: 757-868-7114
  • Fax: 757-868-7922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0014658815
License Number StateVA

VIII. Authorized Official

Name: MR. DAVID RICE CREECY V
Title or Position: PHARMACIST IN CHARGE AND OWNER
Credential: RPH
Phone: 757-868-7114