Organization
PHARMACY INNOVATIONS INC
Active
Other names
Home Town Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST HARGETT (PRESIDENT)
(910) 622-1269
Entity
Organization
Contact information
Practice address
2221 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 752-0003
Mailing address
2221 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 752-0003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11033
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3458898
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
L615CP4NQ33N
—
NC
Enumeration date
03/10/2011
Last updated
12/30/2011
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