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Organization

NEW ELLERBE PHARMACY INC

Active
Other names
ellerbe pharmacy, ellerbepharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
KALPANA GOTTIPATI (PRESIDENT)
(910) 652-6261
Entity
Organization

Contact information

Practice address
274 SECOND STREET, ELLERBE, NC 28338
(910) 652-6261
(910) 652-2469
Mailing address
274 NORTH SECOND STREET, ELLERBE, NC 28338
(910) 652-6261
(910) 652-2469

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11846
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2150531
PK
Enumeration date
02/27/2015
Last updated
06/23/2023
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