Organization
GPN EXPRESS ENTERPRISE LLC
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NHAT QUY TRINH (MEMBER)
(910) 319-6050
Entity
Organization
Contact information
Practice address
14057 US HIGHWAY 17 N, SUITE 100, HAMPSTEAD, NC 28443-3770
(910) 319-6050
(910) 319-6045
Mailing address
14057 US HIGHWAY 17 N, SUITE 100, HAMPSTEAD, NC 28443-3770
(910) 319-6050
(910) 319-6045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
10151
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00432780
—
NC
01
—
15085
PHARMACY PERMIT
NC
Enumeration date
09/04/2008
Last updated
10/13/2023
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