Organization
GUARDIAN PHARMACY OF EASTERN NC, LLC
Active
Organization
GUARDIAN PHARMACY OF EASTERN NC, LLC
Active
Other names
Southern Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD TERRY (CO-PRESIDENT)
(866) 768-8479
Entity
Organization
Contact information
Practice address
4459 TARHEEL DR, PINK HILL, NC 28572-9649
(252) 568-9945
(866) 928-3983
Mailing address
DEPT # 2435 GUARDIAN PHARMACY OF EASTERN NC, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
10966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821387911
—
NC
05
—
1821387911
—
VA
01
—
2130223
PK
—
05
—
7N0965
—
SC
Enumeration date
03/30/2011
Last updated
09/19/2025
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