Organization
ALL-STATES PHARMACY INCORPORATED
Active
Other names
American Pharmacy Company
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DE LOS SANTOS (PRESIDENT)
(828) 338-9728
Entity
Organization
Contact information
Practice address
221 OLD HENDERSONVILLE RD STE D, FLETCHER, NC 28732-9679
(828) 651-8810
(828) 681-5469
Mailing address
221 OLD HENDERSONVILLE RD, SUITE D, FLETCHER, NC 28732-9679
(828) 734-0695
(828) 651-8241
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11244
NC
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135327
PK
—
Enumeration date
06/07/2012
Last updated
02/20/2015
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