Organization
NORTHSIDE FAMILY PHARMACY INC
Active
Other names
NORTHSIDE FAMILY PHARMACY @ MILLBRANCH
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA STOKES (PRESIDENT)
(252) 985-4263
Entity
Organization
Contact information
Practice address
10553 E NC HIGHWAY 97, ROCKY MOUNT, NC 27803-9208
(252) 985-4266
(252) 985-4277
Mailing address
10553 E NC HIGHWAY 97, ROCKY MOUNT, NC 27803-9208
(252) 985-4266
(252) 985-4277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459105
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/06/2011
Last updated
08/11/2011
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