Organization
CAROLINA DRUG OF RANDOLPH COUNTY LLC
Active
Other names
Carolina Drug
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CARTER BS PHARMACY (PHARMACIST MANAGER)
(336) 431-4040
Entity
Organization
Contact information
Practice address
10102 UNIT S, SOUTH MAIN STREET, ARCHDALE, NC 27263
(336) 431-4040
(336) 431-4030
Mailing address
10102 UNIT S, SOUTH MAIN STREET, ARCHDALE, NC 27263
(336) 431-4040
(336) 431-4030
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765629
—
NC
01
—
2121948
PK
—
Enumeration date
09/24/2009
Last updated
03/31/2016
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