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Organization
ROWLAND OLD MAIN INC
Active
Organization
ROWLAND OLD MAIN INC
Active
Other names
Old Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LOCKLEAR (PRESIDENT)
(910) 521-5600
Entity
Organization
Contact information
Practice address
407 W 3RD ST, PEMBROKE, NC 28372-7977
(910) 522-5500
(910) 844-3017
Mailing address
407 W 3RD ST, PEMBROKE, NC 28372-7977
(910) 522-5600
(910) 521-1906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
13142
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167264
PK
—
Enumeration date
01/27/2017
Last updated
05/08/2017
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