Organization
MOUNTAIN STREET PHARMACY INC
Active
Other names
MOUNTAIN ST PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN PROPST RPH (PRESIDENT)
(704) 739-7225
Entity
Organization
Contact information
Practice address
709 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-2711
(704) 739-7225
(704) 739-7288
Mailing address
709 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-2711
(704) 739-7225
(704) 739-7288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235812
—
NC
01
—
2071727
PK
—
Enumeration date
12/29/2006
Last updated
08/31/2016
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