Organization
ROCK CREEK PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI H ANDERS (PHARMACIST/OWNER)
(205) 497-8777
Entity
Organization
Contact information
Practice address
6799 WARRIOR RIVER RD, STE.101, BESSEMER, AL 35023-8001
(205) 497-8777
(205) 497-8797
Mailing address
6817 WARRIOR RIVER RD STE 101, BESSEMER, AL 35023-5602
(205) 497-8777
(205) 497-8797
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003639
—
AL
01
—
112692
STATE LICENSE #
AL
01
—
7866190001
MEDICARE DME
AL
01
—
Q123610001
IMMUNIZATION
—
Enumeration date
01/23/2006
Last updated
03/07/2023
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