Provider Demographics
NPI:1851881478
Name:CARTER PHARMACY LLC
Entity Type:Organization
Organization Name:CARTER PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHAMACY OWNER/PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-522-5152
Mailing Address - Street 1:78 DE THREE HUNTS DRIVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372
Mailing Address - Country:US
Mailing Address - Phone:910-522-5152
Mailing Address - Fax:910-522-5098
Practice Address - Street 1:78 THREE HUNTS DR BLDG 5
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-8998
Practice Address - Country:US
Practice Address - Phone:910-522-5152
Practice Address - Fax:910-522-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC130383336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy