Provider Demographics
NPI:1558681809
Name:PHILLIPS, DAVID CRAIG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CRAIG
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2014
Mailing Address - Country:US
Mailing Address - Phone:828-298-7600
Mailing Address - Fax:828-298-0155
Practice Address - Street 1:1070 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2014
Practice Address - Country:US
Practice Address - Phone:828-298-7600
Practice Address - Fax:828-298-0155
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37331183500000X
MO2010035373183500000X
NC23808183500000X
OH03129341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist