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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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