Organization
REDWINE HEALTH SERVICES LLC
Active
Other names
Central Carolina Pharmaceutical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNA PARRISH (OWNER/PHARMACIST)
(336) 629-9666
Entity
Organization
Contact information
Practice address
308 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 629-9666
(336) 625-0566
Mailing address
308 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 629-9666
(336) 625-0566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
12785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765602
—
NC
01
—
2157348
PK
—
Enumeration date
08/18/2006
Last updated
05/18/2016
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