Organization
CMK, LLC
Active
Other names
MARKET DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BRIAN MERCER PHARM. D. (OWNER-SEC/TREAS.)
(828) 256-0084
Entity
Organization
Contact information
Practice address
2515 SPRINGS RD NE, HICKORY, NC 28601-3169
(828) 256-0084
(828) 256-0093
Mailing address
2515 SPRINGS RD NE, HICKORY, NC 28601-3169
(828) 256-0084
(828) 256-0093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7704492
NC
3336C0003X
Community/Retail Pharmacy
09163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7704492
MEDICAID DME
NC
Enumeration date
07/27/2007
Last updated
07/27/2007
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