Organization
SEAGROVE ASSOCIATES LLC
Active
Other names
CAROLINA PHARMACY - SEAGROVE
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MOORE PHARMD, RPH (OWNER PHCY MGR)
(336) 873-8246
Entity
Organization
Contact information
Practice address
510 N BROAD ST, SEAGROVE, NC 27341-8583
(336) 873-8246
(336) 873-8608
Mailing address
510 N BROAD ST, SEAGROVE, NC 27341-8583
(336) 873-8246
(336) 873-8608
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765578
—
NC
01
—
2068492
PK
—
Enumeration date
06/11/2006
Last updated
11/29/2016
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