Organization
PRICE WELLNESS ENTERPRISES INCORPORATED
Active
Other names
Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PRICE (OWNER)
(980) 875-1968
Entity
Organization
Contact information
Practice address
610 W MAIN ST, ROCKWELL, NC 28138-9414
(704) 279-3001
(704) 279-3004
Mailing address
610 W MAIN ST, ROCKWELL, NC 28138-9414
(704) 279-3001
(704) 279-3004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3459155
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/05/2011
Last updated
10/20/2011
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