Provider Demographics
NPI:1104120070
Name:TARHEEL APOTHECARIES INC
Entity type:Organization
Organization Name:TARHEEL APOTHECARIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-669-9970
Mailing Address - Street 1:3130 US 70 HWY
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-9108
Mailing Address - Country:US
Mailing Address - Phone:828-669-9970
Mailing Address - Fax:828-669-9980
Practice Address - Street 1:3130 US 70 HWY
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-9108
Practice Address - Country:US
Practice Address - Phone:828-669-9970
Practice Address - Fax:828-669-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC60203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7030OtherRUTH HALL HIGGINS PHARMACY LICENSE
NC2801159OtherMEDICARE IMMUNIZATIONS PTAN
NC6020OtherHEALTHRIDGE PHARMACY STATE LICENSE
NC0116491Medicaid
NC6020OtherHEALTHRIDGE PHARMACY STATE LICENSE