Tall Oaks Pharmacy

LBN: Tall Oaks Pharmacy
Tall Oaks Pharmacy is an health care organization with primary practice located at 798 Oak Ridge Farm Hwy Ste C, Mooresville NC 28115-7923. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tall Oaks Pharmacy can be contacted via phone (704) 658-9814, or through Carruth, Larry via phone (704) 658-9814.

Contact Information

Primary practice address
798 Oak Ridge Farm Hwy Ste C Mooresville NC 28115-7923
Phone: (704) 658-9814
Fax: (704) 658-0721
Website:
Map and Directions
Authorized official contact:
Name: Carruth, Larry RPH
Phone: (704) 658-9814

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09273 North Carolina

Profile Details

NPI number 1366468225
LBN Legal business name Tall Oaks Pharmacy
DBA Doing business as Tall Oaks Pharmacy
Authorized official Carruth, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 10th, 2009 - about 17 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 1366468225 NPPES
North Carolina MEDICAID 0497529
North Carolina Other 3405520

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