Organization
HODGES FAMILY PHARMACY LLC
Active
Other names
QwikMed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY HODGES (OWNER/PHARMACIST)
(910) 578-8592
Entity
Organization
Contact information
Practice address
204 WESTWOOD SHOPPING CTR, FAYETTEVILLE, NC 28314-1528
(910) 676-7570
(910) 676-7572
Mailing address
2536 THORNGROVE CT, FAYETTEVILLE, NC 28303-0259
(910) 578-8592
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12889
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013384668
—
NC
01
—
2158827
PK
—
Enumeration date
08/31/2015
Last updated
05/04/2016
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