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GLEN RAVEN PHARMACY INC NPI 1326146135


NPI Information

NPI: 1326146135
Provider Name: GLEN RAVEN PHARMACY, INC

Doing Business As: GLEN RAVEN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1902 W WEBB AVE
BURLINGTON, NC
ZIP 27217
Phone: (336) 584-3736
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GLEN RAVEN PHARMACY, INC is a community/retail pharmacy pharmacy in Burlington, NC. The provider 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. GLEN RAVEN PHARMACY, INC NPI is 1326146135. The provider is registered as an organization entity type.
The provider Is Doing Business As Glen Raven Pharmacy.

The provider's business location address is:

1902 W WEBB AVE
BURLINGTON, NC
ZIP 27217-062
Phone: (336) 584-3736
Fax: (336) 584-3735

The provider's authorized official is August Richard Peters .
The authorized official title is Pharmacist/manager and has the following contact phone number (336) 584-3736.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy07468NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10015884MEDICAIDNORTH CAROLINA
23437250OTHERNORTH CAROLINANCPDP
37703170MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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