Roseboro Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Mount Olive, NC
NPI 1487962890 · NPPES record last updated Aug 10, 2016
Key facts
- NPI
- 1487962890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 10585 (NC)
- Legal business name
- ROSEBORO PHARMACY INC
- Practice address
- 128 N Center St
Mount Olive, NC 28365-1701 - Phone
- (919) 658-4313
- Fax
- (919) 658-4315
- NPI assigned
- Sep 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Kevin Wilson
- Title
- Pharmacy Manager/President
- Phone
- (910) 285-8737
National Provider Directory
Locations
128 N Center St
Mount Olive, NC 28365
Phone (919) 658-4313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10585 | NC | Yes |
Addresses
Primary practice location
128 N Center St
Mount Olive, NC 28365-1701
Mailing address
128 N Center St
Mount Olive, NC 28365-1701
Phone (919) 658-4313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126541 | Other | PK |
Other names
- Center Street Pharmacy
Other providers in Mount Olive, NC
- Linda Faye Pollard
- Larry Price
- Terry Louise Price
- Natalie Rockell Ramirez
- Sonya F Rose
- Misty Lynn Rouse
- Brittney Sanderson
- Victoria Morgan Sanderson
- Garrison Seaman
- Skill Creations, Inc.
All providers in Mount Olive, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.