Randolph Medical Pharmacy

LBN: Nelan Llc
Randolph Medical Pharmacy is an health care organization with primary practice located at 3541 Randolph Rd Suite 104, Charlotte NC 28211-1082. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Nelan Llc can be contacted via phone (704) 365-0707, or through Lala, Kuntal via phone (704) 365-0707.

Contact Information

Primary practice address
3541 Randolph Rd Suite 104 Charlotte NC 28211-1082
Fax: (704) 442-9870
Website:
Authorized official contact:
Name: Lala, Kuntal PHRMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09490 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1083739254
LBN Legal business name Nelan Llc
DBA Doing business as Randolph Medical Pharmacy
Authorized official Lala, Kuntal PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Mar 21st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083739254 NPPES
South Carolina MEDICAID 7N9490
South Carolina MEDICAID 0605998
South Carolina Other 2068170

Popular Providers