Organization
SENTRY DRUG CENTER 16 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PIGG RPH (PRESIDENT AND MANAGER)
(704) 732-1194
Entity
Organization
Contact information
Practice address
1446 E GASTON ST, SUITE 201, LINCOLNTON, NC 28092-4416
(704) 732-1194
(704) 732-9709
Mailing address
1446 E GASTON ST, STE 201, LINCOLNTON, NC 28092-4412
(704) 732-1194
(704) 732-9709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
04270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555185
—
NC
01
—
3421788
OTHER ID NUMBER
—
Enumeration date
07/10/2006
Last updated
12/19/2019
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