Organization
THOMASVILLE FAMILY PHARMACY LLC
Active
Other names
Thomasville Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL PATTERSON (PRESIDENT)
(336) 853-2744
Entity
Organization
Contact information
Practice address
1116 LEXINGTON AVE, THOMASVILLE, NC 27360-3415
(336) 853-2744
Mailing address
1107 W MARKET CENTER DR, HIGH POINT, NC 27260-1642
(336) 817-6794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740538545
—
NC
01
—
3460425
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/27/2012
Last updated
03/14/2023
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