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TALL OAKS PHARMACY NPI 1366468225


NPI Information

NPI: 1366468225
Provider Name: TALL OAKS PHARMACY

Doing Business As: TALL OAKS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
798 OAK RIDGE FARM HWY
STE C
MOORESVILLE, NC
ZIP 28115
Phone: (704) 658-9814
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TALL OAKS PHARMACY is a community/retail pharmacy pharmacy in Mooresville, NC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TALL OAKS PHARMACY NPI is 1366468225. The provider is registered as an organization entity type.
The provider Is Doing Business As Tall Oaks Pharmacy.

The provider's business location address is:

798 OAK RIDGE FARM HWY
STE C
MOORESVILLE, NC
ZIP 28115-923
Phone: (704) 658-9814
Fax: (704) 658-0721

The provider's authorized official is Larry Carruth .
The authorized official title is Owner and has the following contact phone number (704) 658-9814.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 9/10/2009.


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
23336C0003XPharmacyCommunity/Retail Pharmacy09273NORTH 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
10497529MEDICAIDNORTH CAROLINA
25671620001MEDICARE NSC
33405520OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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