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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