Indian Trail Pharmacy is not a DME supplier for medicare equipments and products.
Indian Trail Pharmacy is a Pharmacy in Indian Trail, North Carolina. This pharmacy is owned and operated by Beam And Blizzard, Llc. It is located at 106 Indian Trail Rd S, Indian Trail and it's customer support contact number is 704-821-7617. The authorized person of Indian Trail Pharmacy is Terry A Devine Jr., PHARMD who is Pharmacy Manager of the pharmacy and his contact number is 704-821-7617. Active license number of Indian Trail Pharmacy is 11558 for Pharmacy in North Carolina. Indian Trail Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Indian Trail Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Indian Trail Pharmacy
Type:
Pharmacy
Location:
106 Indian Trail Rd S, Indian Trail, North Carolina, 28079-9669
Phone:
704-821-7617
Fax:
704-821-0177
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Terry A Devine Jr.
Credentials:
PHARMD
Position:
Pharmacy Manager
Contact Number:
704-821-7617
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1407252745
NPI Enumeration Date:
14 Nov, 2014
NPI Last Update On:
01 Dec, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Indian Trail Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
11558
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0905117
Medicaid
North Carolina
6973150001
Other
North Carolina
Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
106 Indian Trail Rd S, Indian Trail, North Carolina
Zip:
28079-9669
Phone Number:
704-821-7617
Fax Number:
704-821-0177
Patients can reach Indian Trail Pharmacy at 106 Indian Trail Rd S, Indian Trail, North Carolina or can call on customer care at 704-821-7617.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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