Dermatology Associates Pharmacy

LBN: Dermatology Associates Pa
Dermatology Associates Pharmacy is an health care organization with primary practice located at 1904 Tradd Ct , Wilmington NC 28401-6637. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dermatology Associates Pa can be contacted via phone (919) 865-4641, or through Gurley, Tony via phone (919) 215-0240.

Contact Information

Primary practice address
1904 Tradd Ct Wilmington NC 28401-6637
Phone: (919) 865-4641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gurley, Tony
Phone: (919) 215-0240

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11215 North Carolina

Profile Details

NPI number 1497021919
LBN Legal business name Dermatology Associates Pa
DBA Doing business as Dermatology Associates Pharmacy
Authorized official Gurley, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 2012 - about 14 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 1497021919 NPPES
Other 3459903 NCPDP PROVIDER IDENTIFICATION NUMBER

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