Organization
IREDELL DRUG CARE, INC
Active
Other names
Banner Drug, Co
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BANNER (OWNER/PHARMACIST)
(704) 878-6681
Entity
Organization
Contact information
Practice address
3478 E BROAD ST, STATESVILLE, NC 28625-4523
(704) 878-6681
Mailing address
3478 E BROAD ST, STATESVILLE, NC 28625-4523
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06015
NC
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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