NPI 1619655297 · live from the CMS NPI Registry
Advance Community Health, INC
Pharmacy in Louisburg, NC. National Provider Identifier 1619655297, active.
NPI record
| NPI | 1619655297 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 205 Sandalwood Ave, Louisburg, NC 27549 |
| Practice phone | 919-755-5060 |
| Mailing address | 1001 Rock Quarry Rd, Raleigh, NC 27610 |
| Enumerated | July 5, 2023 |
| Last updated | February 25, 2025 |
| Authorized official | Tonchelle Lucas, Credentialing Manager |
| Other names | Advance Community Health Pharmacy Louisburg |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.