Healthcare Provider Details

I. General information

NPI: 1235379298
Provider Name (Legal Business Name): FCRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4922 ALBEMARLE ROAD
CHARLOTTE NC
28205
US

IV. Provider business mailing address

9740B UNIVERSITY CITY BLVD
CHARLOTTE NC
28213-3608
US

V. Phone/Fax

Practice location:
  • Phone: 704-909-5610
  • Fax: 704-909-5611
Mailing address:
  • Phone: 704-688-5330
  • Fax: 704-510-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SANJAY R PATEL
Title or Position: PRESIDENT
Credential: RPH
Phone: 704-451-5051