Organization
SHARED PHARMACY HOLDINGS LLC
Active
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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