Organization
SOUTHERN PINES PRESCRIPTION SHOP INC
Active
Other names
Peak City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JON MCCLAIN (PRESIDENT)
(910) 315-4445
Entity
Organization
Contact information
Practice address
201 N SALEM ST, APEX, NC 27502-1429
(919) 362-4444
(919) 362-4439
Mailing address
110 MITCHELL RD, SOUTHERN PINES, NC 28387-6821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3414783
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/08/2009
Last updated
05/08/2009
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