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Organization
MEDICAL CENTER PHARMACY OF CHERRYVILLE INC
Active
Organization
MEDICAL CENTER PHARMACY OF CHERRYVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DAVID KISER OFFICE MANAGER (OFFICE MANAGER)
(704) 435-3263
Entity
Organization
Contact information
Practice address
607 E ACADEMY ST, CHERRYVILLE, NC 28021
(704) 435-3263
(704) 435-9499
Mailing address
607 E ACADEMY ST, CHERRYVILLE, NC 28021
(704) 435-3263
(704) 435-9499
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02151
BOARD OF PHARMACY
NC
05
—
0365288
—
NC
01
—
7702072
DME MEDICAID
NC
Enumeration date
07/05/2006
Last updated
03/07/2023
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