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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