Provider Demographics
NPI:1528837051
Name:501 PHARMACY LLC
Entity type:Organization
Organization Name:501 PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:CHI-HAN
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:984-999-0501
Mailing Address - Street 1:69 KNOX WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-6619
Mailing Address - Country:US
Mailing Address - Phone:984-999-0501
Mailing Address - Fax:
Practice Address - Street 1:69 KNOX WAY STE 110
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-6619
Practice Address - Country:US
Practice Address - Phone:984-999-0501
Practice Address - Fax:984-999-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy