Organization
RICETTA RX NORTH CAROLINA, LLC
Active
Organization
RICETTA RX NORTH CAROLINA, LLC
Active
Other names
Southern Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD L TERRY PHARMD (MANAGER)
(252) 568-9945
Entity
Organization
Contact information
Practice address
4459 TAR HILL DR, PINK HILL, NC 28572-9649
(252) 568-9945
(252) 568-3983
Mailing address
4459 TAR HILL DR, PINK HILL, NC 28572-9649
(252) 568-9945
(252) 568-3983
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
09308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545624
—
NC
01
—
2801167
MEDICARE FLU VACCINE
NC
Enumeration date
10/20/2006
Last updated
03/06/2008
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