Organization
COROLLA PHARMACY, INC
Active
Other names
Todd's Pharmacy of Currituck
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L TATUM PHARMD (PHARMACIST-MANAGER)
(252) 232-0278
Entity
Organization
Contact information
Practice address
532 CARATOKE HWY STE A, MOYOCK, NC 27958-8740
(252) 232-0278
(252) 435-4063
Mailing address
PO BOX 520, MOYOCK, NC 27958-0520
(252) 232-0278
(252) 435-4063
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275073
—
NC
Enumeration date
04/06/2012
Last updated
04/06/2012
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