Organization
WARSAW RX LLC
Active
Parent organization
WARSAW RX LLC
Other names
Value Rx Pharmacy, BIG VALUE DISCOUNT DRUG CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARSAW RX LLC
Authorized official
KELSEY GELDERMAN (CREDENTIALING)
(910) 324-3164
Entity
Organization
Contact information
Practice address
8406 RICHLANDS HIGHWAY, RICHLANDS, NC 28574
(910) 324-3164
(910) 324-1834
Mailing address
PO BOX 295, RICHLANDS, NC 28574-0295
(910) 324-3164
(910) 324-1834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4753
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
4753
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04797
BCBS PROVIDER NUMBER
NC
05
—
0675272
—
NC
05
—
7701290
—
NC
Enumeration date
09/06/2006
Last updated
02/17/2025
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