Organization
NORTH VILLAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B MILLNER III PHARM.D., R.PH. (STAFF PHARMACIST)
(336) 694-4104
Entity
Organization
Contact information
Practice address
1493 MAIN ST, YANCEYVILLE, NC 27379-8793
(336) 694-4104
(336) 694-5823
Mailing address
PO BOX 1209, 1493 MAIN STREET, YANCEYVILLE, NC 27379-1209
(336) 694-4104
(336) 694-5823
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175125
—
NC
05
—
7700850
—
NC
Enumeration date
07/19/2006
Last updated
06/18/2015
Update your record
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