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
Phone: (704) 365-0707
Fax: (704) 442-9870
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083739254 | NPPES |
| South Carolina | MEDICAID | 7N9490 | |
| South Carolina | MEDICAID | 0605998 | |
| South Carolina | Other | 2068170 |
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