Organization
UNITY
Active
Other names
Unity Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ENNIS PHARMD (PHARMACY MANAGER)
(910) 521-7481
Entity
Organization
Contact information
Practice address
68 THREE HUNTS DR, UNIT E, PEMBROKE, NC 28372-7318
(910) 521-7481
(910) 521-7482
Mailing address
PO BOX 450, PEMBROKE, NC 28372-0450
(910) 521-7481
(910) 521-7482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10144
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785791
—
NC
01
—
3411751
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/11/2007
Last updated
12/18/2009
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