Organization
TSCA INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MARSHALL (PRESIDENT)
(336) 922-1990
Entity
Organization
Contact information
Practice address
3719 REYNOLDA RD, WINSTON SALEM, NC 27106-2231
(336) 922-1990
(336) 922-1970
Mailing address
3719 REYNOLDA RD, WINSTON SALEM, NC 27106-2231
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8333
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347131
—
NC
01
—
3441071
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7703884
—
NC
Enumeration date
11/15/2006
Last updated
03/07/2023
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