Organization
ISLAND PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PHILLIPS (RPH/PRESIDENT)
(252) 473-5801
Entity
Organization
Contact information
Practice address
210 S US HWY 64/264, MANTEO, NC 27954
(252) 473-5801
Mailing address
PO BOX 2027, MANTEO, NC 27954-2027
(252) 473-5801
(252) 473-2130
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285294
—
NC
Enumeration date
09/26/2019
Last updated
09/26/2019
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