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Organization

CRESCENT FOODS, INC.

Active
Parent organization
CRESCENT FOODS, INC.
Other names
Mt. Olive Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRESCENT FOODS, INC.
Authorized official
DAVID BRENDAN DEARIE (PHARMACY MANAGER)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
NC
333600000X
Pharmacy
Primary
08289
NC

Other

Enumeration date
10/25/2006
Last updated
01/06/2022
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