Organization
OLD MAIN PHARMACY INC.
Active
Parent organization
OLD MAIN PHARMACY INC.
Other names
Old Main Pharmacy Store #2
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD MAIN PHARMACY INC.
Authorized official
DR. JUSTIN DANIEL PHARMD (PRESIDENT/OWNER)
(910) 521-5600
Entity
Organization
Contact information
Practice address
101 S BOND ST, ROWLAND, NC 28383-9639
(910) 422-3774
(910) 422-3752
Mailing address
PO BOX 2816, PEMBROKE, NC 28372-2816
(910) 521-5600
(910) 521-1906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08381
NC
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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