Organization
FAMILY PHARMACY OF LOUISBURG, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA JOHNSON PERSON RPH (PHARMACIST MANAGER/OWNER)
(919) 340-1100
Entity
Organization
Contact information
Practice address
339 S BICKETT BLVD, LOUISBURG, NC 27549-2701
(919) 340-1100
(919) 340-1101
Mailing address
339 S BICKETT BLVD, LOUISBURG, NC 27549-2701
(919) 340-1100
(919) 340-1101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355321
—
NC
Enumeration date
09/06/2010
Last updated
02/20/2012
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