Organization
COROLLA PHARMACY INC
Active
Other names
Todd's Pharmacy of Currituck
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OWENS RPH (PRES/OWNER)
(252) 335-2901
Entity
Organization
Contact information
Practice address
532 A CARATOKE HWY, MOYOCK, NC 27958
(252) 232-0278
(252) 435-4063
Mailing address
PO BOX 520, MOYOCK, NC 27958-0520
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0275073
—
NC
01
—
2068632
PK
—
Enumeration date
09/20/2006
Last updated
04/18/2016
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