Organization
ERWIN IGA INC
Active
Other names
Carlie C's Pharmacy #885
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL N DOWLESS PHARM.D. (PHARMACY MANAGER)
(910) 897-5014
Entity
Organization
Contact information
Practice address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-5014
(910) 897-2801
Mailing address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-5014
(910) 897-2801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435529
—
NC
01
—
3458038
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2010
Last updated
07/16/2014
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