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Organization

ERWIN IGA, INC.

Active
Other names
Carlie C's Pharmacy #885
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES D ALLEN PHARM.D. (PHARMACY DIRECTOR)
(910) 826-8942
Entity
Organization

Contact information

Practice address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-5014
(910) 897-2801
Mailing address
801 S 13TH ST, ERWIN, NC 28339-2635
(910) 897-5014
(910) 897-2801

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10599
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10599
NCBOP PERMIT
NC
Enumeration date
10/05/2012
Last updated
10/05/2012
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