Healthcare Provider Details

I. General information

NPI: 1821391608
Provider Name (Legal Business Name): RX 24 7 ON CALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 04/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11635 NORTHPARK DR STE 306
WAKE FOREST NC
27587-6525
US

IV. Provider business mailing address

PO BOX 5
WAKE FOREST NC
27588-0005
US

V. Phone/Fax

Practice location:
  • Phone: 919-674-3650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Number10679
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SCOTT BARKENTIN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 919-674-3650