Organization
PHARMACY HEALTH SOLUTIONS LLC
Active
Other names
GIANT GENIE PHARMACY HARRISBURG
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JONES (PRESIDENT/MANAGER)
(704) 622-5060
Entity
Organization
Contact information
Practice address
4310 PHYSICIANS BLVD, HARRISBURG, NC 28075-7404
(704) 454-5135
(704) 454-5086
Mailing address
PO BOX 2769, MATTHEWS, NC 28106-2769
(704) 622-5060
(704) 523-4347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10520
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3419846
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/17/2010
Last updated
12/27/2012
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