Organization
CARROLL PHARMACY INC
Active
Other names
Carroll Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN MCKAY CARROLL JR. REG PHARMACIST RPH (PRESIDENT PHARMACIST IN CHARGE)
(919) 934-7164
Entity
Organization
Contact information
Practice address
840 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4377
(919) 934-7164
(919) 934-0921
Mailing address
840 S BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4377
(919) 934-7164
(919) 934-0921
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3326
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515296
—
NC
01
—
7700865
MEDICAID DME
NC
Enumeration date
09/07/2006
Last updated
04/22/2013
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