Organization
ISLAND PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PHILLIPS RPH (OWNER)
(252) 473-5801
Entity
Organization
Contact information
Practice address
210 S HWY 64, MANTEO, NC 27954
(252) 473-5801
(252) 473-2130
Mailing address
PO BOX 2027, MANTEO, NC 27954-2027
(252) 473-5801
(252) 473-2130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09435
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285163
—
NC
05
—
0285294
—
NC
01
—
2068569
PK
—
Enumeration date
08/20/2006
Last updated
04/30/2018
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