MEDICARE: HARDY-WHITE PHARMACIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	7691	NC
2	3336C0003X	Community/Retail Pharmacy	7691	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3408398	OTHER	NC	NCPDP NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942257662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARDY-WHITE PHARMACIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6726
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27628-6726
Country	:	US
Telephone Number	:	919-835-0457
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 DOCTORS PARK
Second Line	:
City	:	LINCOLNTON
State	:	NC
Zip	:	28092-4406
Country	:	US
Telephone Number	:	704-735-9072
Fax Number	:	704-735-5972

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROMAS T. WHITE III
Credential	:	RPH
Telephone Number	:	919-835-0457

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/22/2014

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