# NEW ELLERBE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215307103
- **Authorized official:** KALPANA GOTTIPATI (PRESIDENT)
- **Authorized official phone:** (910) 652-6261

## Contact information

- **Practice address:** 274 2ND STREET, ELLERBE, NC 28338
- **Practice address phone:** (910) 652-6261
- **Practice address fax:** (910) 652-2469
- **Mailing address:** 274 2ND STREET, ELLERBE, NC 28338
- **Mailing address phone:** (910) 652-6261
- **Mailing address fax:** (910) 652-2469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 10/05/2015