Healthcare Provider Details

I. General information

NPI: 1679660872
Provider Name (Legal Business Name): SHAR-RICH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 08/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W FLEMING DR
MORGANTON NC
28655-3918
US

IV. Provider business mailing address

200 W FLEMING DR
MORGANTON NC
28655-3918
US

V. Phone/Fax

Practice location:
  • Phone: 828-433-6020
  • Fax: 828-433-1211
Mailing address:
  • Phone: 828-433-6020
  • Fax: 828-433-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number05211
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD OWENSBY
Title or Position: PRESIDENT
Credential: RPH
Phone: 828-433-6020