Organization
STOKESDALE FAMILY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY DALE KEITH JR. RPH MBA (PRESIDENT)
(336) 595-6979
Entity
Organization
Contact information
Practice address
8500 US HIGHWAY 158, STOKESDALE, NC 27357-9248
(336) 644-7288
(336) 664-7290
Mailing address
8500 US HIGHWAY 158, PO BOX 63, STOKESDALE, NC 27357-9248
(336) 644-7288
(336) 644-7390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418556
—
NC
Enumeration date
11/02/2009
Last updated
01/11/2016
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