Organization
STANLEYVILLE FAMILY PHARMACY INC
Active
Other names
Stanleyville Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PRICE (MANAGER)
(336) 377-3979
Entity
Organization
Contact information
Practice address
475 SUMMIT SQUARE BLVD, WINSTON SALEM, NC 27105-1485
(336) 377-3979
(336) 377-9979
Mailing address
475 SUMMIT SQUARE BLVD, WINSTON SALEM, NC 27105-1485
(336) 377-3979
(336) 377-9979
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119499
PK
—
Enumeration date
03/18/2009
Last updated
02/28/2017
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