Organization
MINT HILL PHARMACY LLC
Active
Other names
Mint Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M BOWMAN PHARMD (OWNER)
(704) 910-2718
Entity
Organization
Contact information
Practice address
7200 MATTHEWS MINT HILL RD, MINT HILL, NC 28227-7593
(704) 910-2718
(704) 910-6441
Mailing address
7200 MATTHEWS MINT HILL RD, MINT HILL, NC 28227-7593
(704) 910-2718
(704) 910-6441
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053855510
—
NC
01
—
2166741
PK
—
Enumeration date
12/18/2016
Last updated
10/21/2021
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