Healthcare Provider Details

I. General information

NPI: 1992819973
Provider Name (Legal Business Name): REDWINE HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 MAC ARTHUR STREET
ASHEBORO NC
27203
US

IV. Provider business mailing address

171 MAC ARTHUR STREET
ASHEBORO NC
27203
US

V. Phone/Fax

Practice location:
  • Phone: 336-629-9666
  • Fax: 336-625-9666
Mailing address:
  • Phone: 336-629-9666
  • Fax: 336-625-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number12785
License Number StateNC

VIII. Authorized Official

Name: JULIANNA PARRISH
Title or Position: PHARMACY MANAGER
Credential: PHARMD, RPH
Phone: 336-629-9666