Organization
COMMUNITY PHARMACY OF TIMBERLAKE INC
Active
Other names
Community Pharmacy Timberlake
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BIEVER (PHARMACIST MANAGER)
(336) 364-1053
Entity
Organization
Contact information
Practice address
413 HELENA MORIAH RD, TIMBERLAKE, NC 27583-7324
(336) 364-1053
(336) 364-1274
Mailing address
PO BOX 301, TIMBERLAKE, NC 27583-0301
(336) 364-1053
(336) 364-1274
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409465
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2007
Last updated
05/02/2011
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