Organization
CAROLINA MOUNTAIN PHARMACY INC
Active
Other names
Carolina Mountain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JARED MATTSON (OWNER/MANAGER)
(907) 687-0303
Entity
Organization
Contact information
Practice address
7 PISGAH HWY STE 100, CANDLER, NC 28715-8991
(828) 633-6700
(828) 633-6701
Mailing address
7 PISGAH HWY, STE 100, CANDLER, NC 28715-8991
(828) 633-6700
(828) 633-6701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152684
PK
—
Enumeration date
06/15/2015
Last updated
11/15/2020
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