Professional Specialty Pharmacy

LBN: Professional Specialty Pharmacy, Llc
Professional Specialty Pharmacy is an health care organization with primary practice located at 142 Roxboro Rd , Oxford NC 27565-2642. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Professional Specialty Pharmacy, Llc can be contacted via phone (919) 603-3824, or through Bowman, Susan via phone (919) 603-3824.

Contact Information

Primary practice address
142 Roxboro Rd Oxford NC 27565-2642
Fax: (919) 603-3847
Website:
Authorized official contact:
Name: Bowman, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 11338 North Carolina
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1811247257
LBN Legal business name Professional Specialty Pharmacy, Llc
DBA Doing business as Professional Specialty Pharmacy
Authorized official Bowman, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2012
Last updated Sep 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811247257 NPPES
Other 3460401 NCPDP PROVIDER IDENTIFICATION NUMBER

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