Organization
MEDI FARE DRUG CENTER OF EARL, INC D/B/A GRIFFIN DRUG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD A BOLICK (PRESIDENT)
(704) 739-4721
Entity
Organization
Contact information
Practice address
129 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3447
(704) 739-4721
(704) 739-4722
Mailing address
129 W MOUNTAIN ST, KINGS MOUNTAIN, NC 28086-3447
(704) 739-4721
(704) 739-4722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702485
—
NC
Enumeration date
11/29/2007
Last updated
11/29/2007
Update your record
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