Organization
COLUMBIA PHARMACY, INC
Active
Other names
Columbia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DANA OUTTEN RPH (PHARMACIST/MANAGER/OWNER)
(252) 796-2421
Entity
Organization
Contact information
Practice address
214 MAIN STREET, COLUMBIA, NC 27925
(252) 796-2421
(252) 796-1124
Mailing address
PO BOX 239, COLUMBIA, NC 27925-0239
(252) 796-2421
(252) 796-1124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
09900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0895060
—
NC
05
—
7700971
—
NC
Enumeration date
05/19/2010
Last updated
10/01/2012
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