Organization
ATLANTIC HLTH RESOURCES INC
Active
Other names
ATLANTIC HLTH RESOURCES INC
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BLANEY RPH (PIC)
(704) 895-6527
Entity
Organization
Contact information
Practice address
582 DAVIDSON GATEWAY DR, DAVIDSON, NC 28036-7009
(704) 895-6527
(704) 892-6040
Mailing address
PO BOX 1405, DAVIDSON, NC 28036-1405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
09263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407637
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/23/2007
Last updated
05/28/2010
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