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Organization

GUARDIAN PHARMACY OF THE PIEDMONT CAROLINAS

Active
Other names
Guardian Pharmacy of the Piedmont
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID WHITLOCK (PRESIDENT)
(845) 545-8800
Entity
Organization

Contact information

Practice address
2915 WHITEHALL PARK DR STE 100, CHARLOTTE, NC 28273-3580
(845) 545-8800
Mailing address
GUARDIAN PHARMACY OF PIEDMONT DEPT 2382, P.O. BOX 11407, BIRMINGHAM, AL 35246-2382
(404) 810-0089
(404) 810-0094

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q523330001
MEDICARE FOR MASS IMMUNIZATION
NC
Enumeration date
07/29/2009
Last updated
07/21/2022
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