MEDICARE: N CAROLINA RX, LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1992504385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N CAROLINA RX, LLC

Provider Business Mailing Address
First Line	:	4747 CUMBERLAND RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-2413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4747 CUMBERLAND RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-2413
Country	:	US
Telephone Number	:	910-263-8503
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	NAZEM ALSAIDI
Credential	:	PHARMD
Telephone Number	:	910-263-8503

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	05/21/2025

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Directions to “N CAROLINA RX, LLC ” Practice Location

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