Organization
WILKES FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LEE MANUS JR. (PHARMACIST/OWNER)
(336) 667-9347
Entity
Organization
Contact information
Practice address
1300 WESTWOOD LN STE A, WILKESBORO, NC 28697-2638
(336) 667-9347
(336) 667-9350
Mailing address
1300 WESTWOOD LN STE A, WILKESBORO, NC 28697-2638
(336) 667-9347
(336) 667-9350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0855188
—
NC
01
—
2801295
MEDICARE PTAN
NC
Enumeration date
01/18/2012
Last updated
01/18/2012
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