Southern Pharmacy Services
LBN: Guardian Pharmacy Of Eastern Nc, Llc
Southern Pharmacy Services is an health care organization with primary practice located at 4459 Tarheel Dr , Pink Hill NC 28572-9649. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, 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 (252) 568-9945, or through Terry, Chad via phone (866) 768-8479.
Contact Information
Primary practice address
4459 Tarheel Dr
Pink Hill NC 28572-9649
Phone: (252) 568-9945
Fax: (866) 928-3983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 10966 | North Carolina |
Profile Details
| NPI number | 1821387911 |
|---|---|
| LBN Legal business name | Guardian Pharmacy Of Eastern Nc, Llc |
| DBA Doing business as | Southern Pharmacy Services |
| Authorized official | Terry, Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2011 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1821387911 | NPPES |
| Other | 2130223 | PK | |
| MEDICAID | 1821387911 | PK | |
| MEDICAID | 1821387911 | PK | |
| MEDICAID | 7N0965 | PK |
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