Nalle Pharmacy

LBN: Nalle Pharmacy
Nalle Pharmacy is an health care organization with primary practice located at 1918 Randolph Rd Ste 120, Charlotte NC 28207-1100. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nalle Pharmacy can be contacted via phone (704) 342-8180, or through Dagenhart, Carl via phone (704) 342-8180.

Contact Information

Primary practice address
1918 Randolph Rd Ste 120 Charlotte NC 28207-1100
Phone: (704) 342-8180
Fax: (704) 344-2243
Website:
Map and Directions
Authorized official contact:
Name: Dagenhart, Carl
Phone: (704) 342-8180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 7565 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1639281900
LBN Legal business name Nalle Pharmacy
DBA Doing business as Nalle Pharmacy
Authorized official Dagenhart, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 13th, 2007 - about 17 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 1639281900 NPPES
Other 3421687 OTHER ID NUMBER
MEDICAID 0609324 OTHER ID NUMBER

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