Organization
GASTON FAMILY HEALTH SERVICES INC
Active
Other names
Davidson Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ALLEN (PHARMACY DIRECTOR)
(980) 322-4110
Entity
Organization
Contact information
Practice address
420 N SALISBURY ST, LEXINGTON, NC 27292-3548
(336) 249-6215
(336) 249-6771
Mailing address
420 N SALISBURY ST, LEXINGTON, NC 27292-3548
(336) 249-6215
(336) 249-6771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3460437
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/25/2012
Last updated
01/16/2013
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