Organization
THIGPEN PHARMACY, INC
Active
Other names
PIKEVILLE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER T. THIGPEN JR. RPH (PRESIDENT)
(919) 242-6625
Entity
Organization
Contact information
Practice address
107-111 NW RAILROAD ST, PIKEVILLE, NC 27863
(919) 242-6625
Mailing address
107-111 NW RAILROAD STREET, PIKEVILLE, NC 27863-0760
(919) 242-6625
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0376A
BC&BS PROVIDER NUMBER
NC
01
—
7700349
MEDICAID PROVIDER NUMBER
NC
Enumeration date
01/24/2007
Last updated
08/25/2008
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