Organization
A1 PHARMACY AND SURGICAL SUPPLY, LLC
Active
Other names
A1 PHARMACY AND SURGICAL SUPPLY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIN SHAH MS RPH (OWNER)
(980) 328-4476
Entity
Organization
Contact information
Practice address
124 FOREST HILL RD, LEXINGTON, NC 27295
(336) 224-6500
(336) 224-6555
Mailing address
124 FOREST HILL RD, LEXINGTON, NC 27295-2008
(336) 224-6500
(336) 224-6555
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09317
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295864
—
NC
01
—
2065853
PK
—
Enumeration date
06/29/2006
Last updated
03/01/2022
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