Provider Demographics
NPI:1326183922
Name:CAROLINA FAMILY PHARMACY ,INC
Entity Type:Organization
Organization Name:CAROLINA FAMILY PHARMACY ,INC
Other - Org Name:CAPE FEAR DISCOUND DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-484-6100
Mailing Address - Street 1:2800 RAEFORD RD STE 18
Mailing Address - Street 2:SUITE 18
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5465
Mailing Address - Country:US
Mailing Address - Phone:910-484-6100
Mailing Address - Fax:910-485-0069
Practice Address - Street 1:2800 RAEFORD RD STE 18
Practice Address - Street 2:SUITE 18
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5465
Practice Address - Country:US
Practice Address - Phone:910-484-6100
Practice Address - Fax:910-485-0069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08373333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0266201Medicaid
NC3441273OtherNABP