Organization
NORTHSIDE FAMILY PHARMACY INC
Active
Other names
Northside Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA C STOKES PHARMD (PRESIDENT)
(252) 985-4263
Entity
Organization
Contact information
Practice address
3920 BISHOP RD, BATTLEBORO, NC 27809-9038
(252) 985-4263
Mailing address
3920 BISHOP RD, BATTLEBORO, NC 27809-9038
(252) 985-4263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645483
—
NC
01
—
09197
NC STATE LICENSE
NC
Enumeration date
01/15/2009
Last updated
01/04/2011
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