Organization
BEAM & CHAPMAN INC
Active
Other names
SOUTHSIDE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHAPMKAN RPH (VP)
(704) 873-7612
Entity
Organization
Contact information
Practice address
430 WESTERN AVE, STATESVILLE, NC 28677-5730
(704) 873-7612
(704) 872-8037
Mailing address
430 WESTERN AVE, STATESVILLE, NC 28677-5730
(704) 873-7612
(704) 872-8037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498042
—
NC
01
—
2067403
PK
—
Enumeration date
07/24/2006
Last updated
01/28/2015
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