Organization
PHYSICIANS EAST PA
Active
Other names
Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE LANCASTER (PHARMACY MANAGER)
(205) 795-8800
Entity
Organization
Contact information
Practice address
1850 W ARLINGTON BLVD STE 100, GREENVILLE, NC 27834-5704
(252) 413-6208
(252) 413-6211
Mailing address
PO BOX 3488 DEPT #05-800, C/O PHARMAPOINT, TUPELO, MS 38803
(205) 795-8800
(205) 795-8880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159700
PK
—
Enumeration date
05/04/2016
Last updated
09/15/2023
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