Organization
SPINDALE LONG TERM CARE PHARMACY INC
Active
Other names
SPINDALE LONG TERM CARE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KOONCE RPH (PRESIDENT)
(828) 288-1044
Entity
Organization
Contact information
Practice address
117 W MAIN ST, SPINDALE, NC 28160-1539
(828) 288-1044
(828) 286-8560
Mailing address
117 W MAIN ST, SPINDALE, NC 28160-1539
(828) 288-1044
(828) 286-8560
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
07501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815406
—
NC
01
—
2068378
PK
—
Enumeration date
09/20/2006
Last updated
08/31/2016
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