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INDIAN TRAIL PHARMACY INC. NPI 1417292244


NPI Information

NPI: 1417292244
Provider Name: INDIAN TRAIL PHARMACY, INC.

Doing Business As: INDIAN TRAIL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 821-7617
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INDIAN TRAIL PHARMACY, INC. is a community/retail pharmacy pharmacy in Indian Trail, 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. INDIAN TRAIL PHARMACY, INC. NPI is 1417292244. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Trail Pharmacy.

The provider's business location address is:

106 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-669
Phone: (704) 821-7617
Fax: (704) 821-0177

The provider's authorized official is Karen M Stine .
The authorized official title is Office Manager/treasurer and has the following contact phone number (704) 821-7617.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 12/5/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy02670NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10905117MEDICAIDNORTH CAROLINA
20651400001MEDICARE NSCNORTH CAROLINA
33401128OTHERNABP

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: 4/28/2024

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