Organization
CARLIES CS OF BENSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M. FAIRCLOTH (PHARMACY DIRECTOR)
(910) 892-4124
Entity
Organization
Contact information
Practice address
604 S WALL ST, BENSON, NC 27504-1824
(919) 894-1237
(919) 894-1343
Mailing address
604 S WALL ST, BENSON, NC 27504-1824
(919) 894-1237
(919) 894-1343
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10233
STATE LICENSE/PERMIT
NC
Enumeration date
02/02/2009
Last updated
01/04/2016
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