Organization
RAINBOW INCORP
Active
Other names
VITA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
TRUONG NGUYEN (OWNER/CEO/PIC)
(704) 699-8990
Entity
Organization
Contact information
Practice address
816 E ARROWOOD RD STE D, CHARLOTTE, NC 28217-5818
(704) 551-8770
(704) 551-8707
Mailing address
816 E ARROWOOD RD STE D, CHARLOTTE, NC 28217-5818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602112
—
NC
01
—
3408665
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/05/2007
Last updated
12/03/2015
Update your record
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