Organization
MARION PHARMACY INC LONG TERM CARE ONLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM MCMAHAN (OWNER)
(828) 652-4661
Entity
Organization
Contact information
Practice address
232 S MAIN ST, MARION, NC 28752-4551
(828) 652-4661
(828) 652-1085
Mailing address
PO BOX 1388, MARION, NC 28752-1388
(828) 652-4661
(828) 652-1085
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3336C0003X
Community/Retail Pharmacy
01899
NC
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595025
—
NC
Enumeration date
11/03/2017
Last updated
01/18/2021
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