Organization
NORTH VILLAGE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUBERT VERNON MASSENGILL RPH (PRESIDENT)
(336) 694-4104
Entity
Organization
Contact information
Practice address
1493 MAIN ST, YANCEYVILLE, NC 27379-8793
(336) 694-4104
(336) 694-5823
Mailing address
1493 MAIN ST, P.O. BOX 1209, YANCEYVILLE, NC 27379-8793
(336) 694-4104
(336) 694-5823
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175125
—
NC
Enumeration date
12/01/2008
Last updated
12/01/2008
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