Provider Demographics
NPI:1356774012
Name:AYERS QUICK PERSONAL PERSCRIPTION PICK UP/ DELVERY SERVICE NC
Entity type:Organization
Organization Name:AYERS QUICK PERSONAL PERSCRIPTION PICK UP/ DELVERY SERVICE NC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:RPT 46163, CPHT
Authorized Official - Phone:850-727-4658
Mailing Address - Street 1:1469 VALLEY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3350
Mailing Address - Country:US
Mailing Address - Phone:850-727-4658
Mailing Address - Fax:
Practice Address - Street 1:1469 VALLEY GREEN DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3350
Practice Address - Country:US
Practice Address - Phone:850-727-4658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT 465163,CPHT3336C0003X
FLRPT 46163,CPHT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy