Organization
LAKE BRANDT PHARMACY INC
Active
Other names
LAKE BRANDT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BENFIELD RPH (PRESIDENT)
(336) 643-2550
Entity
Organization
Contact information
Practice address
1007 E HWY 150 WEST, SUMMERFIELD, NC 27358
(336) 643-2550
(336) 643-2115
Mailing address
1007 E HWY 150 WEST, SUMMERFIELD, NC 27358
(336) 643-2550
(336) 643-2115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409100
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2007
Last updated
05/16/2011
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