Indian Trail Pharmacy

LBN: Indian Trail Pharmacy, Inc.
Indian Trail Pharmacy is an health care organization with primary practice located at 106 Indian Trail Rd S , Indian Trail NC 28079-9669. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Indian Trail Pharmacy, Inc. can be contacted via phone (704) 821-7617, or through Stine, Karen M via phone (704) 821-7617.

Contact Information

Primary practice address
106 Indian Trail Rd S Indian Trail NC 28079-9669
Phone: (704) 821-7617
Fax: (704) 821-0177
Website:
Map and Directions
Authorized official contact:
Name: Stine, Karen M
Phone: (704) 821-7617

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 02670 North Carolina

Profile Details

NPI number 1417292244
LBN Legal business name Indian Trail Pharmacy, Inc.
DBA Doing business as Indian Trail Pharmacy
Authorized official Stine, Karen M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 12 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 1417292244 NPPES
North Carolina MEDICAID 0905117
North Carolina Other 3401128

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