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Organization

MEDTECH PHARMACY, LLC

Active
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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
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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