Provider Demographics
NPI:1942535232
Name:QUALITY CARE PHARMACY OF THE SANDHILLS
Entity Type:Organization
Organization Name:QUALITY CARE PHARMACY OF THE SANDHILLS
Other - Org Name:QUALITY CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-673-3784
Mailing Address - Street 1:1103 SEVEN LAKES DRIVE
Mailing Address - Street 2:6541 SEVEN LAKES VILLAGE
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-9314
Mailing Address - Country:US
Mailing Address - Phone:910-673-3784
Mailing Address - Fax:910-673-1932
Practice Address - Street 1:1103 SEVEN LAKES DRIVE
Practice Address - Street 2:6541 SEVEN LAKES VILLAGE
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-9314
Practice Address - Country:US
Practice Address - Phone:910-673-3784
Practice Address - Fax:910-673-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC094753336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0635659Medicaid