Organization
REALO SPECIALTY CARE PHARMACY, LLC
Active
Other names
Realo Specialty Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW C. WALK (CEO AND PRESIDENT)
(833) 765-3648
Entity
Organization
Contact information
Practice address
860 AVIATION PKWY STE 1400, MORRISVILLE, NC 27560-7399
(844) 814-1943
(844) 814-1944
Mailing address
2801 NETWORK BLVD STE 505, FRISCO, TX 75034-1895
(833) 765-3648
(603) 718-3824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
12602
NC
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730573098
—
NC
01
—
2151307
PK
—
Enumeration date
03/25/2015
Last updated
06/03/2026
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