Organization
PROFESSIONAL PHARMACY CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREL VANDYK RPH (OWNER)
(704) 664-9528
Entity
Organization
Contact information
Practice address
120 SOUTHPARK DR, STE 402, MOORESVILLE, NC 28117-8957
(704) 664-9528
(704) 746-3159
Mailing address
120 SOUTHPARK DR, STE 402, MOORESVILLE, NC 28117-8957
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3407194
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
08/22/2020
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