Provider Demographics
NPI:1730210832
Name:STRICKLANDS PHARMACY INC
Entity type:Organization
Organization Name:STRICKLANDS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHRM D
Authorized Official - Phone:919-845-2454
Mailing Address - Street 1:7705 LEAD MINE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4829
Mailing Address - Country:US
Mailing Address - Phone:919-845-2454
Mailing Address - Fax:919-845-2455
Practice Address - Street 1:7705 LEAD MINE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4829
Practice Address - Country:US
Practice Address - Phone:919-845-2454
Practice Address - Fax:919-845-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94983336L0003X
NC094983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3407803OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NC7704681Medicaid
NC2801217OtherMEDICARE PTAN
NC2801217OtherMEDICARE PTAN