Provider Demographics
NPI:1043040835
Name:RXCAROLINA
Entity type:Organization
Organization Name:RXCAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-632-4141
Mailing Address - Street 1:5710 W GATE CITY BLVD STE Z
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-7047
Mailing Address - Country:US
Mailing Address - Phone:336-632-4141
Mailing Address - Fax:336-632-4135
Practice Address - Street 1:5710 W GATE CITY BLVD STE Z
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-7047
Practice Address - Country:US
Practice Address - Phone:336-632-4141
Practice Address - Fax:336-632-4135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy