Organization
HAW RIVER PHARMACY LLC
Active
Other names
Haw River Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR BHAGAT (OWNER)
(336) 383-9902
Entity
Organization
Contact information
Practice address
740 E MAIN ST, HAW RIVER, NC 27258-9644
(336) 578-0202
(336) 578-0266
Mailing address
740 E MAIN ST, HAW RIVER, NC 27258-9644
(336) 578-0202
(336) 578-0266
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160824
PK
—
Enumeration date
05/10/2016
Last updated
11/17/2016
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