Organization
MOUNTAINMED LLC
Active
Other names
MOUNTAINMED LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CARVER RPH (OWNER AND PRES)
(828) 652-9633
Entity
Organization
Contact information
Practice address
74 N GARDEN ST, MARION, NC 28752-4037
(828) 652-9633
(828) 652-8201
Mailing address
74 N GARDEN ST, MARION, NC 28752-4037
(828) 652-9633
(828) 652-8201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595207
—
NC
01
—
2065778
PK
—
Enumeration date
09/20/2006
Last updated
08/12/2016
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