# STANLEYVILLE FAMILY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407009780
- **Authorized official:** MR. RUSSELL WARREN PATTERSON PHARM D. (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (336) 529-6016

## Contact information

- **Practice address:** 6143 UNIVERSITY PARKWAY, WINSTON SALEM, NC 27105
- **Practice address phone:** (336) 529-6016
- **Practice address fax:** (336) 529-6017
- **Mailing address:** 6143 UNIVERSITY PARKWAY, WINSTON SALEM, NC 27105
- **Mailing address phone:** (336) 529-6016
- **Mailing address fax:** (336) 529-6017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 10/30/2008