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SERVANT PHARMACY OF RALEIGH LLC NPI 1063646933


NPI Information

NPI: 1063646933
Provider Name: SERVANT PHARMACY OF RALEIGH LLC

Doing Business As: SERVANT PHARMACY OF RALEIGH, LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
700 PONY RD STE A
ZEBULON, NC
ZIP 27597
Phone: (919) 827-0528
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SERVANT PHARMACY OF RALEIGH LLC is a long term care pharmacy pharmacy in Zebulon, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SERVANT PHARMACY OF RALEIGH LLC NPI is 1063646933. The provider is registered as an organization entity type.
The provider Is Doing Business As Servant Pharmacy Of Raleigh, Llc.

The provider's business location address is:

700 PONY RD STE A
ZEBULON, NC
ZIP 27597-656
Phone: (919) 827-0528
Fax: (678) 303-1686

The provider's authorized official is Cathy Kroll .
The authorized official title is Office Manager and has the following contact phone number (678) 303-1680.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 12/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy10294NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12120320OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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