Southern Pharmacy Services Winston-Salem

LBN: Guardian Pharmacy Of Eastern Nc, Llc
Southern Pharmacy Services Winston-Salem is an health care organization with primary practice located at 1031 E Mountain St Bldg 319 , Kernersville NC 27284-7998. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Of Eastern Nc, Llc can be contacted via phone (866) 768-8479, or through Terry, Chad via phone (866) 768-8479.

Contact Information

Primary practice address
1031 E Mountain St Bldg 319 Kernersville NC 27284-7998
Phone: (866) 768-8479
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Terry, Chad
Phone: (866) 768-8479

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Long Term Care Pharmacy 3336L0003X 10965 North Carolina

Profile Details

NPI number 1730478827
LBN Legal business name Guardian Pharmacy Of Eastern Nc, Llc
DBA Doing business as Southern Pharmacy Services Winston-Salem
Authorized official Terry, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2011
Last updated Oct 24th, 2014 - about 10 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 1730478827 NPPES
Other 2130222 PK

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