Organization
CARLIE C'S OF MEMORIAL DRIVE, LLC
Active
Other names
CARLIE C'S PHARMACY #835
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON O STYRON RPH (PHARMACY MANAGER)
(919) 736-1973
Entity
Organization
Contact information
Practice address
1805 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2241
(919) 736-1973
(919) 736-1984
Mailing address
1805 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-2241
(919) 736-1973
(919) 736-1984
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3413072
NABP/NCPDP
—
Enumeration date
08/14/2014
Last updated
08/14/2014
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