Provider Demographics
NPI:1922246818
Name:CALHOUN FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:CALHOUN FAMILY PHARMACY INC
Other - Org Name:DBA CAPE FEAR DISCOUNT DRUG NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-263-0525
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:910-977-3301
Mailing Address - Fax:
Practice Address - Street 1:4417 RAMSEY STREET
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311
Practice Address - Country:US
Practice Address - Phone:910-884-3053
Practice Address - Fax:910-884-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy