Organization
OLD MAIN PHARMACY INC
Active
Parent organization
OLD MAIN PHARMACY INC
Other names
Rowland's Old Main Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD MAIN PHARMACY INC
Authorized official
DR. JUSTIN DANIEL PHARMD (PRESIDENT/OWNER)
(910) 422-3774
Entity
Organization
Contact information
Practice address
101 S BOND ST, ROWLAND, NC 28383-9639
(910) 422-3774
(910) 422-3752
Mailing address
PO BOX 2816, PEMBROKE, NC 28372-2816
(910) 422-3774
(910) 422-3752
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11324
NC
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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