Organization
HEALTHWISE PHARMACY OF GREENVILLE INC
Active
Other names
Hookerton Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIE PARKER (CORPORATION SECRETARY)
(252) 752-0338
Entity
Organization
Contact information
Practice address
516 S WM HOOKER DR APT B, HOOKERTON, NC 28538-7188
(252) 747-0154
(252) 747-0153
Mailing address
516-B SOUTH WILLIAM HOOKER DRIVE, HOOKERTON, NC 28538
(252) 747-0154
(252) 747-0153
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3460348
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2012
Last updated
09/06/2012
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