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Organization

MEDIPHARM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES CHARLES SUAREZ RPH (PRESIDENT)
(828) 322-4499
Entity
Organization

Contact information

Practice address
3412 GRAYSTONE PL, CONOVER, NC 28613-8200
(828) 322-4499
(828) 322-7655
Mailing address
3412 GRAYSTONE PL, CONOVER, NC 28613-8200
(828) 322-4499
(828) 322-7655

Taxonomy

Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
5431
NC
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0185835
NC
Enumeration date
05/01/2006
Last updated
09/11/2025
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