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Organization

SENTRY DRUG CENTER 11 INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD EUGENE PIGG (OWNER/RPH)
(704) 735-2551
Entity
Organization

Contact information

Practice address
2622 E MAIN ST, LINCOLNTON, NC 28092-4319
(704) 735-2551
(704) 735-6222
Mailing address
2622 E MAIN ST, LINCOLNTON, NC 28092-4319
(704) 735-2551
(704) 735-6222

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02894
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0555400
NC
Enumeration date
07/11/2013
Last updated
12/19/2019
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