Organization
YE OLDE SHOPPE LLC
Active
Other names
The Apothecary at St James
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD RAGLAND THOMAS IV PHARM D (MANAGER)
(910) 620-2317
Entity
Organization
Contact information
Practice address
2571 SAINT JAMES DR, UNIT 102-C, SOUTHPORT, NC 28461-8201
(910) 946-7999
Mailing address
2571 SAINT JAMES DR, UNIT 102-C, SOUTHPORT, NC 28461-8201
(910) 946-7999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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