Organization
ELLERBE PHARMACY
Active
Other names
ELLERBE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY MCCASKILL RPH (OWNER-MANAGER)
(910) 652-6261
Entity
Organization
Contact information
Practice address
274 SECOND STREET, ELLERBE, NC 28338
(910) 652-6261
(910) 652-2469
Mailing address
PO BOX 467, ELLERBE, NC 28338-0467
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11846
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775130
—
NC
01
—
2065844
PK
—
Enumeration date
06/11/2006
Last updated
03/23/2015
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