Provider Demographics
NPI:1164442992
Name:EASTERN CAROLINA PHARMACY CARE INC
Entity Type:Organization
Organization Name:EASTERN CAROLINA PHARMACY CARE INC
Other - Org Name:REALO DISCOUNT DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:HARDY
Authorized Official - Last Name:CREECH
Authorized Official - Suffix:II
Authorized Official - Credentials:RPH
Authorized Official - Phone:252-527-6929
Mailing Address - Street 1:300 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-4932
Mailing Address - Country:US
Mailing Address - Phone:252-527-6929
Mailing Address - Fax:252-527-8247
Practice Address - Street 1:300 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4932
Practice Address - Country:US
Practice Address - Phone:252-527-6929
Practice Address - Fax:252-527-8247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC093043336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2068615OtherPK