Organization
FIVE POINTS PHARMA
Active
Other names
Medical Village Long Term Care Pharmacy, Medical VillagePharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HINES CROSS RPH (OWNER/ PIC)
(828) 780-8510
Entity
Organization
Contact information
Practice address
615 MAIN AVE SW, HICKORY, NC 28602-2601
(828) 780-8510
(828) 780-8520
Mailing address
PO BOX 1467, HICKORY, NC 28603-1467
(828) 780-8510
(828) 780-8520
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12909
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639535156
—
NC
01
—
2158134
PK
—
Enumeration date
01/13/2016
Last updated
05/04/2026
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