Organization
SELECT CARE PHARMACY LLC
Active
Other names
Select Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN CUNNINGHAM (PRESIDENT)
(843) 452-3891
Entity
Organization
Contact information
Practice address
15 GLENN BRIDGE RD STE A, ARDEN, NC 28704-8481
(828) 585-2034
(855) 782-5622
Mailing address
15 GLENN BRIDGE RD STE A, ARDEN, NC 28704-8481
(828) 585-2034
(855) 782-5622
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
12746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689048381
—
NC
01
—
2155359
PK
—
Enumeration date
11/18/2015
Last updated
08/18/2020
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