Organization
COLES PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E CARVER (PRESIDENT)
(336) 599-2171
Entity
Organization
Contact information
Practice address
117 N MAIN ST, ROXBORO, NC 27573-5534
(336) 599-2171
(336) 599-2804
Mailing address
PO BOX 740, ROXBORO, NC 27573-0740
(336) 599-2171
(336) 599-2804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
01445
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
01445
NC
333600000X
Pharmacy
01445
NC
3336C0003X
Community/Retail Pharmacy
Primary
01445
NC
335E00000X
Prosthetic/Orthotic Supplier
01445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735001
—
NC
01
—
3410533
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7701109
—
NC
Enumeration date
09/20/2006
Last updated
11/08/2023
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