Organization
BAKERSVILLE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W SIDES III RPH (PHARMACIST OWNER)
(828) 688-3241
Entity
Organization
Contact information
Practice address
580 SOUTH HWY 226, BAKERSVILLE, NC 28705
(828) 688-3241
(828) 688-9463
Mailing address
PO BOX 920, 580 SOUTH HWY 226, BAKERSVILLE, NC 28705
(828) 688-3241
(828) 688-9463
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702249
—
NC
Enumeration date
02/28/2007
Last updated
08/22/2020
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