Lafayette Street Pharmacy
LBN: Eric Rich Inc
Lafayette Street Pharmacy is an health care organization with primary practice located at 620 S Lafayette St , Shelby NC 28150-5808. 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.
Eric Rich Inc can be contacted via phone (704) 481-0076, or through Humphries, Michael via phone (704) 481-0076.
Contact Information
Primary practice address
620 S Lafayette St
Shelby NC 28150-5808
Phone: (704) 481-0076
Fax: (704) 481-0080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 05475 | North Carolina |
Profile Details
| NPI number | 1487799011 |
|---|---|
| LBN Legal business name | Eric Rich Inc |
| DBA Doing business as | Lafayette Street Pharmacy |
| Authorized official | Humphries, Michael PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1487799011 | NPPES |
| North Carolina | MEDICAID | 0235580 | |
| North Carolina | MEDICAID | 7700833 | |
| North Carolina | Other | 3424366 |
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