Organization
TAR HEEL DRUG LTC, LLC
Active
Organization
TAR HEEL DRUG LTC, LLC
Active
Parent organization
TAR HEEL DRUG, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAR HEEL DRUG, INC.
Authorized official
MR. JAMES WALTER DEMING PHARMD (PRESIDENT/OWNER)
(336) 228-9003
Entity
Organization
Contact information
Practice address
316 S MAIN ST, GRAHAM, NC 27253-3320
(336) 228-9003
(336) 227-7401
Mailing address
316 S MAIN ST, GRAHAM, NC 27253-3320
(336) 228-9003
(336) 227-7401
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
11522
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11522
NCBOP PERMIT NUMBER
NC
Enumeration date
04/15/2013
Last updated
04/15/2013
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