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Organization
ROCKFISH PHARMACY INC
Active
Organization
ROCKFISH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ALLEN (OWNER)
(910) 565-1115
Entity
Organization
Contact information
Practice address
221 FLAGSTONE LANE, RAEFORD, NC 28376
(910) 850-2111
Mailing address
221 FLAGSTONE LANE, RAEFORD, NC 28376
(910) 565-1115
(910) 565-1113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124053251
PERSONAL NPI
—
01
—
13672
STATE PHARMACIST LICENSE
—
Enumeration date
04/03/2017
Last updated
11/26/2018
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