<Unavail>
LBN: Nalle Pharmacy
<Unavail> is an health care organization with primary practice located at 1918 Randolph Rd Ste 120, Charlotte NC 28207-1100. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Nalle Pharmacy can be contacted via phone (704) 342-8180, or through Dagenhart, Carl via phone (704) 342-8180.
Contact Information
Primary practice address
1918 Randolph Rd Ste 120
Charlotte NC 28207-1100
Phone: (704) 342-8180
Fax: (704) 344-2243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7565 | North Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1639281900 |
|---|---|
| LBN Legal business name | Nalle Pharmacy |
| DBA Doing business as | <Unavail> |
| Authorized official | Dagenhart, Carl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 13th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639281900 | NPPES |
| Other | 3421687 | OTHER ID NUMBER | |
| MEDICAID | 0609324 | OTHER ID NUMBER |
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