Provider Demographics
NPI:1093951253
Name:PROFESSIONAL PHARMACY OF OXFORD
Entity Type:Organization
Organization Name:PROFESSIONAL PHARMACY OF OXFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:DENNY
Authorized Official - Last Name:CLAIRBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:919-693-8555
Mailing Address - Street 1:140 ROXBORO RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2642
Mailing Address - Country:US
Mailing Address - Phone:919-693-8555
Mailing Address - Fax:919-603-0214
Practice Address - Street 1:140 ROXBORO RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2642
Practice Address - Country:US
Practice Address - Phone:919-693-8555
Practice Address - Fax:919-603-0214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10023333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy