Organization
LEWISVILLE DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN VANCE PHARMD (PRESIDENT)
(336) 946-0220
Entity
Organization
Contact information
Practice address
6715 SHALLOWFORD RD, LEWISVILLE, NC 27023-9847
(336) 946-0220
(336) 946-0199
Mailing address
6715 SHALLOWFORD RD, LEWISVILLE, NC 27023-9847
(336) 946-0220
(336) 946-0199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347256
—
NC
Enumeration date
04/03/2025
Last updated
04/03/2025
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