Organization
MT AIRY DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS SCOTT HALL RPH (PRESIDENT PHARMACIST)
(336) 786-5506
Entity
Organization
Contact information
Practice address
701 WEST PINE ST, SUITE 500, MT AIRY, NC 27030
(336) 786-5506
(336) 786-6867
Mailing address
701 WEST PINE ST, SUITE 500, MT AIRY, NC 27030
(336) 786-5506
(336) 786-6867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
08106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865627
—
NC
Enumeration date
09/22/2006
Last updated
03/06/2013
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