Organization
VERIMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GAUCHER (CHIEF EXECUTIVE OFFICER)
(704) 469-4577
Entity
Organization
Contact information
Practice address
10345 NATIONS FORD RD, SUITE E, CHARLOTTE, NC 28273-5822
(704) 412-2732
Mailing address
10345 NATIONS FORD RD, SUITE E, CHARLOTTE, NC 28273-5822
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12031
NC
3336L0003X
Long Term Care Pharmacy
12031
NC
Other
Enumeration date
08/26/2013
Last updated
11/06/2014
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