Provider Demographics
NPI:1982462123
Name:ROCK CREEK PHARMACY, INC.
Entity type:Organization
Organization Name:ROCK CREEK PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:H
Authorized Official - Last Name:ANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-497-8777
Mailing Address - Street 1:6817 WARRIOR RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35023-5601
Mailing Address - Country:US
Mailing Address - Phone:205-497-8777
Mailing Address - Fax:205-497-8797
Practice Address - Street 1:6817 WARRIOR RIVER RD
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35023-5601
Practice Address - Country:US
Practice Address - Phone:205-497-8777
Practice Address - Fax:205-497-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy