Organization
PROFESSIONAL PHARMACY OF OXFORD LLC
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DENNY CLAIBORNE PHARMD (MEMBER/MANAGER)
(919) 693-8555
Entity
Organization
Contact information
Practice address
140 ROXBORO RD, OXFORD, NC 27565-2642
(919) 693-8555
(919) 603-0214
Mailing address
140 ROXBORO RD, OXFORD, NC 27565-2642
(919) 693-8555
(919) 603-0214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10023
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395450
—
NC
01
—
2070623
PK
—
Enumeration date
04/26/2006
Last updated
10/07/2024
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