Organization
CARLIE C'S OF CEDAR CREEK, LLC
Active
Other names
CARLIE C'S IGA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL D GAUDELLI RPH (PHARMACY MANAGER)
(910) 483-8972
Entity
Organization
Contact information
Practice address
600 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6504
(910) 483-8972
(910) 484-0607
Mailing address
600 CEDAR CREEK RD, FAYETTEVILLE, NC 28312-6504
(910) 483-8972
(910) 484-0607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09346
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3406394
NABP/NCPDP
—
Enumeration date
08/14/2014
Last updated
08/14/2014
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