PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER; NPI #1033271002

Contact Information

PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER

300 ENOLA RD
PHARMACY DEPARTMENT
MORGANTON, NC 28655-4608

Phone: 828-433-2653
Fax: 828-433-2894
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Institutional Pharmacy	3336I0012X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER

NPI Number 1033271002

LBN Legal business name PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER

Authorized official JANICE SWEARINGEN - (DIRECTOR OF PHCY SVCS)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/15/2006

Last updated 03/07/2024 - About 2 years ago

Identifiers

NC	License #	02677
NC	Medicaid	3406014
	Other	2066483	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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