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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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