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Organization
NEW ELLERBE PHARMACY INC
Active
Organization
NEW ELLERBE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALPANA GOTTIPATI (PRESIDENT)
(910) 652-6261
Entity
Organization
Contact information
Practice address
274 2ND STREET, ELLERBE, NC 28338
(910) 652-6261
(910) 652-2469
Mailing address
274 2ND STREET, ELLERBE, NC 28338
(910) 652-6261
(910) 652-2469
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
282E00000X
Long Term Care Hospital
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
—
NULL
3140N1450X
Pediatric Skilled Nursing Facility
—
NULL
315D00000X
Inpatient Hospice
Primary
—
NULL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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