Organization
TARHEEL PHARMACY #2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA WHITEHEAD PHARM D, RPH (PHARMACY MANAGER)
(252) 384-1001
Entity
Organization
Contact information
Practice address
1505 N ROAD ST, ELIZABETH CITY, NC 27909-3243
(252) 384-1001
Mailing address
1505 N ROAD ST, ELIZABETH CITY, NC 27909-3243
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705343
—
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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