Indian Trail Pharmacy is an authorized DME supplier for medicare equipments and products.
Indian Trail Pharmacy is a Community/Retail 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 Devine who is Manager of the pharmacy and his contact number is 704-821-7617. Active license number of Indian Trail Pharmacy is 11558 for Community/Retail Pharmacy in North Carolina. Indian Trail Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Indian Trail Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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:
Community/Retail 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 Devine
Position:
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:
1740374974
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
10 Nov, 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
Community/Retail Pharmacy
11558
North Carolina
Primary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
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
2140464
Other
Pk
Medicare Enrollment:
Indian Trail Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5193953065
O20140123000201
Beam And Blizzard Llc
DME SUPPLIER - PHARMACY
5193953065
O20141104002313
Beam And Blizzard Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
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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