Organization
LAX GROUP LLC
Active
Other names
Carolina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIPUL PATEL PHARMD (OWNER)
(704) 909-4700
Entity
Organization
Contact information
Practice address
8035 PROVIDENCE RD STE 300, CHARLOTTE, NC 28277-8907
(704) 909-4700
(704) 752-4197
Mailing address
8035 PROVIDENCE RD STE 100, CHARLOTTE, NC 28277-9716
(704) 909-4700
(704) 752-4197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155340
PK
—
Enumeration date
03/10/2015
Last updated
12/15/2022
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