Organization
HOSPITAL PHARMACY LTC
Active
Organization
HOSPITAL PHARMACY LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LARRY PATTERSON (OWNER/PRESIDENT)
(336) 786-4171
Entity
Organization
Contact information
Practice address
814 WORTH ST, MOUNT AIRY, NC 27030-4561
(336) 786-4171
(336) 786-8856
Mailing address
814 WORTH ST, MOUNT AIRY, NC 27030-4561
(336) 786-4171
(336) 786-8856
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
08097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865635
—
NC
Enumeration date
07/17/2006
Last updated
08/22/2020
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