Organization
MOUNT GILEAD LLC
Active
Parent organization
MOUNT GILEAD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT GILEAD LLC
Authorized official
ANIL CHINAPAGA (MANAGING MEMBER)
(910) 439-6541
Entity
Organization
Contact information
Practice address
116 S MAIN ST, MOUNT GILEAD, NC 27306-9254
(910) 439-6541
(910) 439-5723
Mailing address
PO BOX 248, MOUNT GILEAD, NC 27306-0248
(910) 439-6541
(910) 439-5723
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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