Organization
MOUNT GILEAD LLC
Active
Other names
Cochrane Ridenhour Drug Co #3
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL K CHINAPAGA RPH (PHARMACIST IN CHARGE)
(910) 439-6541
Entity
Organization
Contact information
Practice address
116 SOUTH MAIN STREET, MOUNT GILEAD, NC 27306-0248
(910) 439-6541
(910) 439-5723
Mailing address
PO BOX 248, 116 SOUTH MAIN STREET, MOUNT GILEAD, NC 27306-0248
(910) 439-6541
(910) 439-5723
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02217
NC
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0625053
—
NC
01
—
2066533
PK
—
Enumeration date
02/02/2007
Last updated
03/29/2017
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