Organization
ERIC RICH INC
Active
Other names
Lafayette Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HUMPHRIES PHARMD (PHARMACY MANAGER)
(704) 481-0076
Entity
Organization
Contact information
Practice address
620 S LAFAYETTE ST, SHELBY, NC 28150-5808
(704) 481-0076
(704) 481-0080
Mailing address
620 S LAFAYETTE ST, SHELBY, NC 28150-5808
(704) 481-0076
(704) 481-0080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235580
—
NC
01
—
3424366
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7700833
—
NC
Enumeration date
02/21/2007
Last updated
03/07/2023
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