Organization
SILER CITY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELYNN N FOX PHARMD (MEMBER-MANAGER)
(919) 663-5541
Entity
Organization
Contact information
Practice address
202 E RALEIGH ST, SILER CITY, NC 27344
(919) 663-5541
Mailing address
202 E RALEIGH ST, SILER CITY, NC 27344-3416
(919) 663-5541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801215
MEDICARE GROUP/ORGANIZATION PTAN
NC
Enumeration date
11/21/2008
Last updated
06/07/2018
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