Northside Family Pharmacy At The Plaza

LBN: Northside Family Plaza Pharmacy Inc
Northside Family Pharmacy At The Plaza is an health care organization with primary practice located at 1041 Noell Ln Ste 102, Rocky Mount NC 27804-2058. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Northside Family Plaza Pharmacy Inc can be contacted via phone (252) 985-4265, or through Stokes, Angela via phone (252) 985-4263.

Contact Information

Primary practice address
1041 Noell Ln Ste 102 Rocky Mount NC 27804-2058
Fax: (252) 985-4287
Website:
Authorized official contact:
Name: Stokes, Angela

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09327 North Carolina

Profile Details

NPI number 1053345421
LBN Legal business name Northside Family Plaza Pharmacy Inc
DBA Doing business as Northside Family Pharmacy At The Plaza
Authorized official Stokes, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 27th, 2009 - about 15 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 1053345421 NPPES
Other 3406130 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0645491 NCPDP PROVIDER IDENTIFICATION NUMBER

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