Organization
HOGAN'S PHARMACY INC
Active
Other names
Hogan's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE HOGAN (PRESIDENT)
(910) 893-4544
Entity
Organization
Contact information
Practice address
815 W FRONT ST, LILLINGTON, NC 27546-9735
(910) 893-4544
(910) 893-4544
Mailing address
815 W FRONT ST, PO BOX 159, LILLINGTON, NC 27546-9735
(910) 893-4544
(910) 893-4544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12030
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146444
PK
—
Enumeration date
05/27/2014
Last updated
02/20/2017
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