Organization
CAROLINA COMPOUNDING PHARMACY & HEALTH CENTER INC
Active
Other names
CAROLINA COMPOUNDING PHARMACY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID BAKHTEYAR PHARMD, RPH (CEO/OWNER)
(919) 467-7110
Entity
Organization
Contact information
Practice address
254 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 467-7110
(919) 467-7976
Mailing address
254 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 467-7110
(919) 467-7976
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09207
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065763
PK
—
Enumeration date
07/30/2006
Last updated
08/31/2016
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