Organization
MASSEY HILL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA G BODDULURI (PHARMACIST OWNER)
(603) 723-2884
Entity
Organization
Contact information
Practice address
1072 SOUTHERN AVE, FAYETTEVILLE, NC 28306-1766
(910) 484-0159
Mailing address
1072 SOUTHERN AVE, FAYETTEVILLE, NC 28306-1766
(910) 484-0159
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NC
Other
Enumeration date
05/07/2009
Last updated
05/08/2009
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