Organization
SHARED PHARMACY HOLDINGS LLC
Active
Other names
SHARED PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
HAVEN PERKINS (PRESIDENT)
(407) 804-1836
Entity
Organization
Contact information
Practice address
1196 PLEASANT RIDGE RD STE A-1, GREENSBORO, NC 27409-9753
(336) 450-3900
Mailing address
1196 PLEASANT RIDGE RD, SUITE A-1, GREENSBORO, NC 27409-9753
(336) 450-3900
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
11446
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138745
PK
—
Enumeration date
01/16/2012
Last updated
08/13/2013
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