Organization
PIEDMONT PHARMACY LLC
Active
Other names
Piedmont Pharmacy, LLC of Gastonia
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GURLEY (PHARMACY MANAGER)
(919) 215-0240
Entity
Organization
Contact information
Practice address
924 COX RD, GASTONIA, NC 28054-3456
(919) 865-4641
(919) 865-4644
Mailing address
PO BOX 90216, RALEIGH, NC 27675-0216
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11165
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459597
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/23/2011
Last updated
02/03/2012
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