Organization
HAMPSTEAD FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WILSON (PHCY MANAGER)
(910) 270-1077
Entity
Organization
Contact information
Practice address
15489 HWY 17 N, UNIT 2, HAMPSTEAD, NC 28443
(910) 270-1077
(910) 270-2711
Mailing address
15489 HWY 17 N, UNIT 2, HAMPSTEAD, NC 28443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
7703557
NC
333600000X
Pharmacy
Primary
08083
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715242
—
NC
01
—
08083
PHARMACY LIC
NC
01
—
3438872
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7703557
—
NC
Enumeration date
10/23/2006
Last updated
06/13/2008
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