Organization
CRESCENT FOODS, INC.
Active
Other names
MT OLIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRENDAN DEARIE (PIC)
(919) 658-8660
Entity
Organization
Contact information
Practice address
615 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1203
(919) 658-8660
(919) 658-8630
Mailing address
615 N BREAZEALE AVE, MOUNT OLIVE, NC 28365-1203
(919) 658-8660
(919) 658-8630
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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