Organization
LEAR ENTERPRISES INC
Active
Other names
Walkers Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KERN PHARMD (PHARMACY MANAGER)
(704) 321-0027
Entity
Organization
Contact information
Practice address
8145 ARDREY KELL RD, SUITE 105, CHARLOTTE, NC 28277-5720
(704) 321-0027
(704) 321-0067
Mailing address
8145 ARDREY KELL RD, SUITE 105, CHARLOTTE, NC 28277-5720
(704) 321-0027
(704) 321-0067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0602301
—
NC
01
—
2724920A
MEDICARE MASS IMMUNIZER
NC
01
—
7705159
MEDICAID DME
NC
Enumeration date
12/12/2012
Last updated
07/28/2020
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