Healthcare Provider Details

I. General information

NPI: 1134085830
Provider Name (Legal Business Name): JEFFREY CZARKOWSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N GREEN ST
MORGANTON NC
28655-3343
US

IV. Provider business mailing address

4588 PLANTATION DR
MORGANTON NC
28655-7192
US

V. Phone/Fax

Practice location:
  • Phone: 828-437-3141
  • Fax:
Mailing address:
  • Phone: 828-443-3679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number03222883
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15215
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: