Organization
NELAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNTAL LALA PHARM.D (PRESIDENT)
(704) 365-0707
Entity
Organization
Contact information
Practice address
3541 RANDOLPH RD STE 104, CHARLOTTE, NC 28211-1081
(704) 365-0707
(704) 442-9870
Mailing address
3541 RANDOLPH RD STE 104, CHARLOTTE, NC 28211-1081
(704) 365-0707
(704) 442-9870
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0605998
—
NC
Enumeration date
08/08/2018
Last updated
03/21/2022
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