Organization
WACCAMAW COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SPIVEY SHELBURNE RPH (OWNER)
(910) 640-1700
Entity
Organization
Contact information
Practice address
700 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 640-1700
(910) 640-1918
Mailing address
700 JEFFERSON ST, WHITEVILLE, NC 28472-3706
(910) 640-1700
(910) 640-1918
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
08468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3441879
NCPDP
NC
Enumeration date
04/04/2007
Last updated
03/07/2023
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