MEDICARE: AMERICAN DRUG CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447353644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN DRUG CENTER, INC.

Provider Business Mailing Address
First Line	:	2322 E LITTLE CREEK RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-3225
Country	:	US
Telephone Number	:	757-480-6402
Fax Number	:	757-480-8395

Provider Business Practice Location Address
First Line	:	1940 LASKIN RD
Second Line	:	SUITE 306
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-4278
Country	:	US
Telephone Number	:	757-428-0787
Fax Number	:	757-425-5706

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RANJEEV GULIANI
Credential	:
Telephone Number	:	757-971-2426

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	01/05/2012

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