Organization
CCCH INC
Active
Other names
Pfafftown Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES AUSTIN (PIC)
(336) 922-0558
Entity
Organization
Contact information
Practice address
4611 YADKINVILLE RD, PFAFFTOWN, NC 27040-8622
(336) 922-0558
(336) 922-0566
Mailing address
CCCH INC, P.O. BOX 610, PFAFFTOWN, NC 27040
(336) 922-0558
(336) 922-0566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459787
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/26/2012
Last updated
11/27/2012
Update your record
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