Organization
CALABASH FAMILY PHARMACY INC
Active
Other names
CALABASH FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS TYNDALL (PHRM MANG)
(910) 842-4401
Entity
Organization
Contact information
Practice address
10080 BEACH DRIVE SW, CALABASH, NC 28467
(910) 579-1177
(910) 579-1877
Mailing address
10080 BEACH DR SW, CALABASH, NC 28467-2712
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105497
—
NC
01
—
3408108
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/17/2007
Last updated
05/27/2009
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