Organization
MEDICAL PHARMACY OF ALBEMARLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW COLEMAN CASTELLOE (PHARMACIST)
(704) 982-9179
Entity
Organization
Contact information
Practice address
320 YADKIN ST, ALBEMARLE, NC 28001-3447
(704) 982-9179
(704) 983-5557
Mailing address
320 YADKIN ST, ALBEMARLE, NC 28001-3447
(704) 982-9179
(704) 983-5557
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845149
—
NC
01
—
3403259
NCPDP PROVIDER INDENTIFICATION NUMBER
—
Enumeration date
04/06/2012
Last updated
04/06/2012
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