Organization
WARD SPECIALTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MONTE IGNACIO PHARMACIST (PHARMACIST MANAGER)
(252) 459-5544
Entity
Organization
Contact information
Practice address
3646 SUNSET AVE, SUITE 110 BARKLEY SQUARE, ROCKY MOUNT, NC 27804
(252) 459-5544
Mailing address
PO BOX 8573, ROCKY MOUNT, NC 27804-1573
(252) 459-5544
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
11998
NC
3336S0011X
Specialty Pharmacy
11998
NC
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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