Organization
MEDIFARE DRUG CENTER OF EARL INC
Active
Other names
GRIFFIN DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD BOLICK RPH (OWNER)
(704) 739-4721
Entity
Organization
Contact information
Practice address
129 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3447
(704) 739-4721
(704) 739-4722
Mailing address
129 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3447
(704) 739-4721
(704) 739-4722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235606
—
NC
01
—
2069854
PK
—
Enumeration date
06/21/2006
Last updated
03/31/2016
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