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Organization
E Z ACCESS PHARMACY INC
Active
Organization
E Z ACCESS PHARMACY INC
Active
Other names
E Z Access Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR HELLSTROM (PRESIDENT)
(570) 223-2383
Entity
Organization
Contact information
Practice address
107 KIOWA LN, PIEDMONT, SC 29673-6751
(864) 272-2806
(877) 856-4692
Mailing address
PO BOX 301, MARSHALLS CREEK, PA 18335-0301
(570) 223-2383
(877) 856-4692
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4230190
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/25/2011
Last updated
05/06/2011
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