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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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