Organization
WARSAW RX LLC
Active
Parent organization
WARSAW RX LLC
Other names
BIG VALUE DISCOUNT DRUG CENTER, Value Rx Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WARSAW RX LLC
Authorized official
KELSEY GELDERMAN (CREDENTIALING)
(910) 324-3164
Entity
Organization
Contact information
Practice address
8406 RICHLANDS HWY, RICHLANDS, NC 28574
(910) 324-3164
(910) 324-1834
Mailing address
PO BOX 295, RICHLANDS, NC 28574-0295
(910) 324-3164
(910) 324-1834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04753
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675272
—
NC
01
—
2068116
PK
—
05
—
7701290
—
NC
Enumeration date
01/31/2007
Last updated
06/23/2024
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