Guardian Pharmacy Of Eastern Nc, Llc, NPI 1821387911
Long Term Care Pharmacy in Pink Hill, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1821387911
NPI Entity Type Organization
Provider Name Guardian Pharmacy Of Eastern Nc, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4459 Tarheel Dr, Pink Hill, NC, US
Provider Mailing Address Dept # 2435 Guardian Pharmacy Of Eastern Nc, P.o. Box 11407, Birmingham, AL, US, 352460001
Is Sole Proprietor? No
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Organization Official

Official Name Chad Terry
Official Position CO-PRESIDENT
Phone 866-768-8479

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 10966
License State NC
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Southern Pharmacy Services
Doing Business As

Business Address

Guardian Pharmacy Of Eastern Nc, Llc
4459 Tarheel Dr

Pink Hill, NC, US

Phone: 252-568-9945
Fax: 866-928-3983

Mailing Address

Guardian Pharmacy Of Eastern Nc, Llc
Dept # 2435 Guardian Pharmacy Of Eastern Nc
P.o. Box 11407
Birmingham, AL, US
ZIP 352460001
Phone: 404-810-0089
Fax: 404-810-0094

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0004X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2130223 PK 01
1821387911 VA MEDICAID 05
1821387911 NC MEDICAID 05
7N0965 SC MEDICAID 05

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