Organization
EXTENSIVE PHARMACEUTICAL SERVICES, INC.
Active
Organization
EXTENSIVE PHARMACEUTICAL SERVICES, INC.
Active
Other names
EXTENSIVE PHARMACEUTICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN WHITLEY PHARMD (MANAGER)
(252) 527-1593
Entity
Organization
Contact information
Practice address
306 N QUEEN ST, KINSTON, NC 28501-4932
(252) 527-1593
(252) 527-1893
Mailing address
306 N QUEEN ST, KINSTON, NC 28501-4932
(252) 527-1593
(252) 527-1893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
10268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545681
—
NC
01
—
3430763
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
09/15/2011
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