Specialty Pharmacy-Southern Pines, Llc

LBN: Specialty Pharmacy-Southern Pines Llc
Specialty Pharmacy-Southern Pines, Llc is an health care organization with primary practice located at 735 S. Bennett St. , Southern Pines NC 28387. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Specialty Pharmacy-Southern Pines Llc can be contacted via phone (910) 246-9355, or through Waters, Wesley via phone (910) 691-1022.

Contact Information

Primary practice address
735 S. Bennett St. Southern Pines NC 28387
Fax: (910) 246-1755
Website:
Authorized official contact:
Name: Waters, Wesley

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10686 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1962704775
LBN Legal business name Specialty Pharmacy-Southern Pines Llc
DBA Doing business as Specialty Pharmacy-Southern Pines, Llc
Authorized official Waters, Wesley
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2010
Last updated Mar 11th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962704775 NPPES
Other 3458191 NCPDP PROVIDER IDENTIFICATION NUMBER

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