=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245210434
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROCK CREEK PHARMACY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2006
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6799 WARRIOR RIVER RD STE.101
-----------------------------------------------------
City | BESSEMER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35023-8001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-497-8777
-----------------------------------------------------
Fax | 205-497-8797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6817 WARRIOR RIVER RD STE 101
-----------------------------------------------------
City | BESSEMER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35023-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-497-8777
-----------------------------------------------------
Fax | 205-497-8797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST/OWNER
-----------------------------------------------------
Name | MRS. TERI H ANDERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 205-497-8777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------