Organization
SERVANT PHARMACY OF RALEIGH LLC
Active
Organization
SERVANT PHARMACY OF RALEIGH LLC
Active
Other names
Servant Pharmacy of Raleigh, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY KROLL (OFFICE MANAGER)
(678) 303-1680
Entity
Organization
Contact information
Practice address
700 PONY RD STE A, ZEBULON, NC 27597-2656
(919) 827-0528
(678) 303-1686
Mailing address
2451 CUMBERLAND PKWY SE, SUITE 3694, ATLANTA, GA 30339-6136
(678) 303-1680
(678) 303-1686
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
10294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120320
PK
—
Enumeration date
05/07/2009
Last updated
12/22/2015
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