Provider Demographics
NPI:1992834063
Name:PHARM. D OF EASTERN CAROLINA, INC.
Entity Type:Organization
Organization Name:PHARM. D OF EASTERN CAROLINA, INC.
Other - Org Name:CARING HANDS MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-975-1358
Mailing Address - Street 1:917 W. 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3522
Mailing Address - Country:US
Mailing Address - Phone:252-975-1358
Mailing Address - Fax:252-975-1659
Practice Address - Street 1:917 W. 13TH STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3522
Practice Address - Country:US
Practice Address - Phone:252-975-1358
Practice Address - Fax:252-975-1659
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARM D OF EASTERN CAROLINA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-05
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705019Medicaid
NC7705019Medicaid