Organization
RICETTA RX NORTH CAROLINA, LLC.
Active
Organization
RICETTA RX NORTH CAROLINA, LLC.
Active
Other names
Southern Pharmacy Services Winston-Salem
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL HOWARD NOPED PHARMD (PHARMACY MANAGER)
(336) 577-3971
Entity
Organization
Contact information
Practice address
556 ARBOR HILL RD, SUITE J, KERNERSVILLE, NC 27284-3375
(866) 768-8479
(866) 928-3983
Mailing address
556 ARBOR HILL RD, SUITE J, KERNERSVILLE, NC 27284-3375
(866) 768-8479
(866) 928-3983
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347380
—
NC
Enumeration date
02/04/2008
Last updated
08/13/2010
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