Organization
THE HAWTHORNE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY M WHITE RPH (MANAGER)
(336) 768-1815
Entity
Organization
Contact information
Practice address
1622 SOUTH HAWTHORNE ROAD, WINSTON-SALEM, NC 27103-4103
(336) 768-1815
(336) 768-0518
Mailing address
1622 SOUTH HAWTHORNE ROAD, WINSTON-SALEM, NC 27103-4103
(336) 768-1815
(336) 768-0518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
NC06232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC0346957
—
NC
Enumeration date
07/04/2006
Last updated
08/22/2020
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