Organization
MAIN STREET PHARMACY LLC
Active
Other names
MAIN STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FINNY JOSEPH RPH (OWNER)
(919) 688-1368
Entity
Organization
Contact information
Practice address
213 W MAIN ST STE A, DURHAM, NC 27701-3258
(919) 688-1368
(919) 682-3191
Mailing address
213 W MAIN ST STE A, DURHAM, NC 27701-3258
(919) 688-1368
(919) 682-3191
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144374596
—
NC
01
—
2068558
PK
—
Enumeration date
01/23/2007
Last updated
05/13/2022
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