Healthcare Provider Details

I. General information

NPI: 1487716569
Provider Name (Legal Business Name): YORK DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 05/02/2011
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 TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number0201002881
License Number StateVA

VIII. Authorized Official

Name: DAVID CREECY
Title or Position: PRESIDENT
Credential: RPH
Phone: 757-868-7114