Organization
MIDTOWN PHARMACY LLC
Active
Other names
Midtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COCKMAN PHARMD. (OWNER)
(336) 446-0099
Entity
Organization
Contact information
Practice address
941 CENTER CREST DR STE A, WHITSETT, NC 27377
(336) 446-0099
(336) 446-0094
Mailing address
941 CENTER CREST DR STE A, WHITSETT, NC 27377-8002
(336) 446-0099
(336) 446-0094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418081
—
NC
01
—
2069940
PK
—
Enumeration date
09/30/2006
Last updated
06/11/2018
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