Provider Demographics
NPI:1508429390
Name:TARBORO CHEMISTS, INC.
Entity Type:Organization
Organization Name:TARBORO CHEMISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAVIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMEPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-233-8304
Mailing Address - Street 1:112 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-2012
Mailing Address - Country:US
Mailing Address - Phone:252-823-3178
Mailing Address - Fax:
Practice Address - Street 1:112 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-2012
Practice Address - Country:US
Practice Address - Phone:252-823-3178
Practice Address - Fax:252-823-8055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy