Organization
LEWIS M FERGUSON
Active
Other names
OFFICE PRACTICE OF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA FERGUSON RPH (MANAGER)
(828) 632-8591
Entity
Organization
Contact information
Practice address
92 MAIN AVENUE DR, TAYLORSVILLE, NC 28681-2383
(828) 632-8591
(828) 635-0529
Mailing address
92 MAIN AVENUE DR, TAYLORSVILLE, NC 28681-2383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03967
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025064
—
NC
01
—
3418767
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/11/2007
Last updated
09/12/2007
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