Glen Raven Pharmacy

LBN: Glen Raven Pharmacy, Inc
Glen Raven Pharmacy is an health care organization with primary practice located at 1902 W Webb Ave , Burlington NC 27217-1062. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Glen Raven Pharmacy, Inc can be contacted via phone (336) 584-3736, or through Peters, August Richard via phone (336) 584-3736.

Contact Information

Primary practice address
1902 W Webb Ave Burlington NC 27217-1062
Phone: (336) 584-3736
Fax: (336) 584-3735
Website:
Map and Directions
Authorized official contact:
Name: Peters, August Richard RPH
Phone: (336) 584-3736

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 07468 North Carolina

Profile Details

NPI number 1326146135
LBN Legal business name Glen Raven Pharmacy, Inc
DBA Doing business as Glen Raven Pharmacy
Authorized official Peters, August Richard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1326146135 NPPES
North Carolina Other 3437250 NCPDP
North Carolina MEDICAID 7703170 NCPDP
North Carolina MEDICAID 0015884 NCPDP

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