Organization
CREATIVE HEALTH INITIATIVES LTD
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS THOMPSON RPH (OWNER)
(704) 789-9681
Entity
Organization
Contact information
Practice address
361 GEO W LILES PKWY NW, CONCORD, NC 28027-6532
(704) 789-9681
Mailing address
361 GEO W LILES PKWY NW, CONCORD, NC 28027-6532
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08126
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205085115
BCBSNC
NC
Enumeration date
09/16/2008
Last updated
09/16/2008
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