Organization
REALO SPECIALTY CARE PHARMACY, INC
Active
Other names
Realo Specialty Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SYREETA TAYLOR (DIRECTOR OF HUMAN RESOURCES)
(252) 639-9006
Entity
Organization
Contact information
Practice address
860 AVIATION PKWY STE 1400, MORRISVILLE, NC 27560-7399
(910) 814-1943
(910) 814-1909
Mailing address
1301 COMMERCE DR, NEW BERN, NC 28562-2213
(252) 639-9006
(252) 639-9005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
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
05/07/2024
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