Organization
KA SLOAN CORPORATION
Active
Other names
Carolina Compounding and Nutritional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN SLOAN (PRESIDENT)
(704) 540-4330
Entity
Organization
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, STE 230, CHARLOTTE, NC 28277-3174
(704) 540-4330
(704) 540-4660
Mailing address
7825 BALLANTYNE COMMONS PKWY, STE 230, CHARLOTTE, NC 28277-3174
(704) 540-4330
(704) 540-4660
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L000826
NC
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
10194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3415331
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/03/2009
Last updated
04/02/2013
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