Organization
CLEMMONS FAMILY PHARMACY LLC
Active
Other names
Tyro Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL WARREN PATTERSON PHARM D (PRESIDENT)
(336) 853-2744
Entity
Organization
Contact information
Practice address
4320 S NC HIGHWAY 150, LEXINGTON, NC 27295-5161
(336) 853-2744
(336) 853-5915
Mailing address
1107 W MARKET CENTER DR, HIGH POINT, NC 27260-1642
(336) 817-6794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
10308
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033343082
—
NC
Enumeration date
05/05/2009
Last updated
03/14/2023
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