Organization
CARLIE CS OF CLIFFDALE LLC
Active
Other names
Carlie C's Pharmacy #830
Organization subpart
No
Provider details
NPI number
Authorized official
LIBBY WILLIS RPH (PHARMACY MANAGER)
(910) 826-8942
Entity
Organization
Contact information
Practice address
690 S REILLY RD, FAYETTEVILLE, NC 28314-5626
(910) 826-8942
(910) 826-9069
Mailing address
690 S REILLY RD, FAYETTEVILLE, NC 28314-5626
(910) 826-8942
(910) 826-9069
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10396
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418212
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2009
Last updated
06/16/2015
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