Organization
MEDTECH PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN WILLING JR. R.PH. (CHIEF OPERATING OFFICER)
(502) 423-7525
Entity
Organization
Contact information
Practice address
426 GALLIMORE DAIRY RD STE 100, GREENSBORO, NC 27409-9548
(336) 252-2640
(336) 285-7237
Mailing address
9900 SHELBYVILLE RD, STE 2B, LOUISVILLE, KY 40223-2937
(502) 423-7525
(502) 425-4934
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
12147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447656400
—
NC
Enumeration date
11/18/2014
Last updated
12/29/2016
About Stedi
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