Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Monroe Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1396470209

Old Monroe Pharmacy LLC is a Community/Retail Pharmacy in Indian Trail, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4514 Old Monroe Rd Ste A
Indian Trail, NC 28079-5308
Phone: (704) 831-7895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1396470209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Shields — Pharmacy Manager · (704) 301-4651
NPI enumeratedJuly 24, 2022
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address4514 Old Monroe Rd Ste A, Indian Trail, NC 28079-5308

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