Organization
HEALTH INNOVATIONS PHARMACY INC
Active
Other names
HEALTH INNOVATIONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HALL CLARK RPH (CEO)
(910) 246-5155
Entity
Organization
Contact information
Practice address
295 PINEHURST AVE BLDG 2, SOUTHERN PINES, NC 28387-7023
(910) 246-5155
(910) 246-5157
Mailing address
295 PINEHURST AVE BLDG 2, SOUTHERN PINES, NC 28387-7023
(910) 246-5155
(910) 246-5157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07705
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635540
—
NC
01
—
2068810
PK
—
Enumeration date
02/02/2007
Last updated
01/02/2019
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