Pungo River Pharmacy Inc

LBN: Pungo River Pharmacy Inc
Pungo River Pharmacy Inc is an health care organization with primary practice located at 892 Us Highway 264 Byp , Belhaven NC 27810-9771. 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. Pungo River Pharmacy Inc can be contacted via phone (252) 943-2585, or through Ellis, Scott via phone (252) 943-2585.

Contact Information

Primary practice address
892 Us Highway 264 Byp Belhaven NC 27810-9771
Phone: (252) 943-2585
Fax: (252) 943-3076
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Scott RPH
Phone: (252) 943-2585

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04520 North Carolina

Profile Details

NPI number 1588795488
LBN Legal business name Pungo River Pharmacy Inc
DBA Doing business as
Authorized official Ellis, Scott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Sep 26th, 2011 - about 13 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 1588795488 NPPES
North Carolina MEDICAID 0075242
North Carolina Other 3403780

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