Healthcare Provider Details

I. General information

NPI: 1730210832
Provider Name (Legal Business Name): STRICKLANDS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7705 LEAD MINE RD
RALEIGH NC
27615-4829
US

IV. Provider business mailing address

7705 LEAD MINE RD
RALEIGH NC
27615-4829
US

V. Phone/Fax

Practice location:
  • Phone: 919-845-2454
  • Fax: 919-845-2455
Mailing address:
  • Phone: 919-845-2454
  • Fax: 919-845-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number09498
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number9498
License Number StateNC

VIII. Authorized Official

Name: JAMES STRICKLAND
Title or Position: PRESIDENT
Credential: PHRM D
Phone: 919-845-2454