Organization
KAITLYNS PHARMACY INC
Active
Other names
KAITLYNS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TUNG VU R.PH. (PHARMACY MANAGER)
(704) 588-9623
Entity
Organization
Contact information
Practice address
9100 S TRYON ST STE A, CHARLOTTE, NC 28273-3113
(704) 588-9623
(704) 588-9624
Mailing address
9100 S TRYON ST STE A, CHARLOTTE, NC 28273-3113
(704) 588-9623
(704) 588-9624
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426412
—
NC
01
—
2065729
PK
—
05
—
7704459
—
NC
Enumeration date
07/30/2006
Last updated
03/24/2016
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