Organization
MIDEL INCORPORATED
Active
Other names
STANDARD DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRIFFIN PHRMD (PRESIDENT)
(336) 495-5100
Entity
Organization
Contact information
Practice address
522 ALLEN ST, STE 102, TROY, NC 27371-2861
(910) 571-5610
(910) 571-5616
Mailing address
2593 GREY RABBIT RUN, ASHEBORO, NC 27205-8097
(336) 857-1997
(866) 238-8879
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067506
PK
—
Enumeration date
03/26/2007
Last updated
12/08/2016
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