Organization
NALLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI WILSON ULRICH PHARM.D. (PHARMACIST)
(704) 342-8180
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 120, CHARLOTTE, NC 28207-1100
(704) 342-8180
(704) 344-2243
Mailing address
1918 RANDOLPH RD, SUITE 120, CHARLOTTE, NC 28207-1100
(704) 342-8180
(704) 344-2243
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
7565
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609324
—
NC
01
—
7565
NCBOP
NC
Enumeration date
10/29/2008
Last updated
03/07/2023
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