Organization
GALLOWAY SANDS LLC
Active
Other names
GALLOWAY SANDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABHIJITKUMAR MA CHAUHAN (CO-OWNER)
(910) 754-7200
Entity
Organization
Contact information
Practice address
58 PHYSICIANS DR NW, STE 5, SUPPLY, NC 28462-4215
(910) 754-7200
(910) 754-7555
Mailing address
58 PHYSICIANS DR NW # 5, SUPPLY, NC 28462-4215
(910) 754-7200
(910) 754-7555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105470
—
NC
01
—
2065782
PK
—
Enumeration date
06/20/2006
Last updated
01/04/2025
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