Organization
LSA PHARMACY INC
Active
Organization
LSA PHARMACY INC
Active
Other names
LSA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BEAM RPH (PHCST MGR)
(704) 642-0952
Entity
Organization
Contact information
Practice address
320 CALHOUN ST, SALISBURY, NC 28144
(704) 642-0952
(704) 642-0954
Mailing address
PO BOX 947, SALISBURY, NC 28145-0947
(704) 642-0952
(704) 642-0954
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
06111
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805747
—
NC
01
—
2071158
PK
—
Enumeration date
12/14/2005
Last updated
03/27/2017
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