Organization
NATURAL SLEEP STORE LLC
Active
Other names
Specialty Pharmacy of Cary, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TREY WATERS (PRESIDENT)
(910) 691-1022
Entity
Organization
Contact information
Practice address
3750 NW CARY PKWY STE 112, CARY, NC 27513-8432
(910) 691-1022
(910) 579-6990
Mailing address
165 NE BROAD ST, SOUTHERN PINES, NC 28387-5525
(910) 246-9355
(910) 246-1755
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11273
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459991
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/11/2012
Last updated
08/01/2012
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