Organization
COMMUNITY PHARMACY OF LOCUST LLC.
Active
Other names
Medical Pharmacy of Locust
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARK RICHARDS (VICE PRESIDENT)
(704) 904-3287
Entity
Organization
Contact information
Practice address
236 MARKET STREET, SUITE 100, LOCUST, NC 28097
(704) 888-3784
(704) 781-0026
Mailing address
236 MARKET STREET, SUITE 100, LOCUST, NC 28097
(704) 888-3784
(704) 781-0026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
09476
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845420
—
NC
01
—
2066164
PK
—
Enumeration date
04/19/2007
Last updated
10/22/2018
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