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Organization

NORTH VILLAGE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES B MILLNER (PHARMACIST)
(336) 694-4104
Entity
Organization

Contact information

Practice address
1493 MAIN ST, YANCEYVILLE, NC 27379-8793
(336) 694-4104
Mailing address
PO BOX 1209, YANCEYVILLE, NC 27379-1209
(336) 694-4104

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194744342
NC
Enumeration date
02/07/2019
Last updated
02/07/2019
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