# ROWLAND OLD MAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Main Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821535816
- **Authorized official:** AMBER LOCKLEAR (PRESIDENT)
- **Authorized official phone:** (910) 521-5600

## Contact information

- **Practice address:** 407 W 3RD ST, PEMBROKE, NC 28372-7977
- **Practice address phone:** (910) 522-5500
- **Practice address fax:** (910) 844-3017
- **Mailing address:** 407 W 3RD ST, PEMBROKE, NC 28372-7977
- **Mailing address phone:** (910) 522-5600
- **Mailing address fax:** (910) 521-1906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 13142 | NC | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 05/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2167264 | PK | — |
