Organization
WINDSOR CHEMISTS ,INC
Active
Other names
PITTMAN'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHUNATH DOPPALAPUDI (OWNER)
(252) 794-3431
Entity
Organization
Contact information
Practice address
305 W GRANVILLE ST, WINDSOR, NC 27983-1815
(252) 794-3431
(252) 794-2896
Mailing address
305 W GRANVILLE ST, WINDSOR, NC 27983-1815
(252) 794-3431
(252) 794-2896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376196063
—
NC
01
—
14175
BOARD OF PHARMACY
NC
01
—
3471860
NCPDP
NC
01
—
7767820001
MEDICARE (855S)
NC
01
—
Q651120001
MEDICARE (855B)
NC
Enumeration date
07/22/2019
Last updated
05/15/2020
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