Organization
VILLAGE PHARMACY OF WAKE FOREST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR H MINTON RPH (OWNER)
(919) 556-2757
Entity
Organization
Contact information
Practice address
900 S FRANKLIN ST, SUITE 102, WAKE FOREST, NC 27587-2797
(919) 556-2757
(919) 556-2757
Mailing address
900 S FRANKLIN ST, SUITE 102, WAKE FOREST, NC 27587-2797
(919) 556-2757
(919) 556-2757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10359
NC
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920310
—
NC
Enumeration date
08/18/2009
Last updated
03/16/2022
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