Community Care Pharmacy

LBN: Graca Inc
Community Care Pharmacy is an health care organization with primary practice located at 143 Rosedale Dr , Elizabeth City NC 27909-9810. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Graca Inc can be contacted via phone (252) 331-2965, or through Goldston, Dana via phone (940) 754-5857.

Contact Information

Primary practice address
143 Rosedale Dr Elizabeth City NC 27909-9810
Phone: (252) 331-2965
Fax: (252) 335-0329
Website:
Map and Directions
Authorized official contact:
Name: Goldston, Dana RPH
Phone: (940) 754-5857

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 09191 North Carolina

Profile Details

NPI number 1710062005
LBN Legal business name Graca Inc
DBA Doing business as Community Care Pharmacy
Authorized official Goldston, Dana RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 5th, 2009 - about 15 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 1710062005 NPPES
Other 3404732 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 7704429 NCPDP PROVIDER IDENTIFICATION NUMBER

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