Organization
HALLS DRUG STORE LLC
Active
Other names
YOUR PHARMACY OF LEXINGTON
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH GUNDA (MANAGER OPERTAIONS)
(732) 857-7227
Entity
Organization
Contact information
Practice address
100 W 3RD ST, LEXINGTON, NC 27292-2362
(336) 249-0322
(336) 249-8572
Mailing address
100 W 3RD ST, LEXINGTON, NC 27292-2362
(336) 249-0322
(336) 249-8572
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295921
—
NC
01
—
2128743
PK
—
Enumeration date
11/20/2006
Last updated
07/25/2016
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