Healthcare Provider Details

I. General information

NPI: 1750890109
Provider Name (Legal Business Name): CARTER'S FAMILY PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N FAYETTEVILLE ST
ASHEBORO NC
27203-4611
US

IV. Provider business mailing address

700 N FAYETTEVILLE ST
ASHEBORO NC
27203-4611
US

V. Phone/Fax

Practice location:
  • Phone: 336-625-8650
  • Fax: 336-636-5920
Mailing address:
  • Phone: 336-625-8650
  • Fax: 336-636-5920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number13334
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13334
License Number StateNC

VIII. Authorized Official

Name: BRANDON HURLEY
Title or Position: OWNER
Credential:
Phone: 336-625-8650