Provider Demographics
NPI:1790064749
Name:STARKEY, ANDY CORDELL (RPH)
Entity Type:Individual
Prefix:
First Name:ANDY
Middle Name:CORDELL
Last Name:STARKEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 HIGH MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-8271
Mailing Address - Country:US
Mailing Address - Phone:336-643-5349
Mailing Address - Fax:
Practice Address - Street 1:3004 HIGH MEADOWS CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-8271
Practice Address - Country:US
Practice Address - Phone:336-643-5349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist