Organization
SMOKY MOUNTAIN APOTHECARIES NO 2
Active
Other names
Asheville Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CLARK PHARMD (OWNER)
(828) 255-8757
Entity
Organization
Contact information
Practice address
760 MERRIMON AVE, ASHEVILLE, NC 28804-2456
(828) 255-8757
(828) 255-8829
Mailing address
760 MERRIMON AVE, ASHEVILLE, NC 28804-2456
(828) 255-8757
(828) 255-8829
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05382
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116293
—
NC
01
—
2070359
PK
—
Enumeration date
06/13/2006
Last updated
03/30/2016
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