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Organization

ZINOVIA & CO LLC

Active
Other names
Home Town Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
RAVICHAND YALAMANCHILI (PHARMACY MANAGER)
(919) 292-1423
Entity
Organization

Contact information

Practice address
101 S VANCE ST, SANFORD, NC 27330-4239
(919) 292-1423
(919) 292-1732
Mailing address
101 S VANCE ST, SANFORD, NC 27330-4239
(919) 292-1423
(919) 292-1732

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
12628
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2153324
PK
Enumeration date
07/20/2015
Last updated
11/15/2021
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