Organization
PICKLED HERRING INC
Active
Other names
MEDICAL VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HERRING PHARMD (OWNER)
(910) 276-1154
Entity
Organization
Contact information
Practice address
517 LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 276-1154
(910) 276-0082
Mailing address
517 LAUCHWOOD DR, LAURINBURG, NC 28352-5502
(910) 276-1154
(910) 276-0082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885237
—
NC
01
—
2069081
PK
—
05
—
7N8294
—
SC
Enumeration date
06/19/2006
Last updated
04/05/2021
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