Organization
STANLEYVILLE FAMILY PHARMACY, INC
Active
Other names
Stanleyville Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T PRICE PHARMD (PRESIDENT)
(336) 377-3979
Entity
Organization
Contact information
Practice address
193 N SUMMIT SQUARE BLVD, WINSTON SALEM, NC 27105
(336) 377-3979
(336) 377-9979
Mailing address
193 N SUMMIT SQUARE BLVD, WINSTON SALEM, NC 27105
(336) 377-3979
(336) 377-9979
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347748
—
NC
Enumeration date
09/21/2011
Last updated
09/21/2011
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