Provider Demographics
NPI:1710214754
Name:SHAR RICH, INC.
Entity Type:Organization
Organization Name:SHAR RICH, INC.
Other - Org Name:TABLE ROCK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/COOWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-438-9355
Mailing Address - Street 1:200 W FLEMING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3918
Mailing Address - Country:US
Mailing Address - Phone:828-438-9355
Mailing Address - Fax:828-433-1211
Practice Address - Street 1:200 W FLEMING DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3918
Practice Address - Country:US
Practice Address - Phone:828-438-9355
Practice Address - Fax:828-433-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52113336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0125401Medicaid
0659130001Medicare NSC