Organization
BETHLEHEM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE SAIN (PRESIDENT)
(828) 495-8258
Entity
Organization
Contact information
Practice address
9471 NC HIGHWAY 127, HICKORY, NC 28601-8394
(828) 495-8258
(828) 495-8260
Mailing address
9471 NC HIGHWAY 127, HICKORY, NC 28601-8394
(828) 495-8258
(828) 495-8260
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185371
—
NC
01
—
0422U
BLUE CROSS BLUE SHIELD
—
01
—
04774
BLUE CROSS/BLUE SHIELD PROVIDER
—
Enumeration date
10/01/2010
Last updated
10/01/2010
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