Organization
FAMILYMED PHARMACY OF MAIDEN
Active
Other names
FAMILYMED PHARMACY OF MAIDEN
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SHULL RPH (PIC)
(828) 428-1501
Entity
Organization
Contact information
Practice address
625 E MAIN ST, MAIDEN, NC 28650-1419
(828) 428-1501
(828) 428-4138
Mailing address
625 E MAIN ST, MAIDEN, NC 28650-1419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186256
—
NC
01
—
3402827
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
10/10/2008
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