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Organization

MOUNTAIN STREET PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLAN M PROPST R.PH (PHARMACIST)
(704) 739-7225
Entity
Organization

Contact information

Practice address
709 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-2711
(704) 739-7225
(704) 739-7288
Mailing address
709 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-2711
(704) 739-7225
(704) 739-7288

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0235812
NC
01
3434898
NCPDP
NC
Enumeration date
03/22/2007
Last updated
06/04/2015
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