Center Street Pharmacy

LBN: Roseboro Pharmacy Inc
Center Street Pharmacy is an health care organization with primary practice located at 128 N Center St , Mount Olive NC 28365-1701. 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. Roseboro Pharmacy Inc can be contacted via phone (919) 658-4313, or through Wilson, Kevin via phone (910) 285-8737.

Contact Information

Primary practice address
128 N Center St Mount Olive NC 28365-1701
Fax: (919) 658-4315
Website:
Authorized official contact:
Name: Wilson, Kevin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10585 North Carolina

Profile Details

NPI number 1487962890
LBN Legal business name Roseboro Pharmacy Inc
DBA Doing business as Center Street Pharmacy
Authorized official Wilson, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2010
Last updated Aug 10th, 2016 - about 8 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 1487962890 NPPES
Other 2126541 PK

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