Organization
BURLINGTON 8142 LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COCKMAN (OWNER)
(336) 222-9811
Entity
Organization
Contact information
Practice address
378 HARDEN ST, BURLINGTON, NC 27215-7516
(336) 222-9811
(336) 222-9310
Mailing address
378 HARDEN ST, BURLINGTON, NC 27215-7516
(336) 222-9811
(336) 222-9310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12893
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155766
PK
—
Enumeration date
11/13/2015
Last updated
02/23/2017
About Stedi
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