Organization
SEVEN LAKES PRESCRIPTION SHOPPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERT BARRETT III PHARMD (CO-OWNER/PHARMACIST MANAGER)
(910) 673-7467
Entity
Organization
Contact information
Practice address
120 MACDOUGALL DRIVE, WEST END, NC 27376
(910) 673-7467
(910) 673-3595
Mailing address
120 MACDOUGALL DRIVE, WEST END, NC 27376
(910) 673-7467
(910) 673-3595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5635532
—
NC
Enumeration date
12/07/2010
Last updated
12/07/2010
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