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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