Organization
MOORESVILLE PHARMACY EAST LLC
Active
Other names
HealthSmart Pharmacy (East)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN MICHAEL HOUCHINS (OWNER PHARMACIST)
(704) 799-6870
Entity
Organization
Contact information
Practice address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-6870
(704) 799-6871
Mailing address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-6870
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7707
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
07707
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497129
—
NC
01
—
3438276
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7703285
—
NC
05
—
7N7707
—
SC
Enumeration date
10/20/2006
Last updated
03/07/2023
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