Organization
JEMSEK CLINIC PA
Active
Other names
JEMSEK CLINIC APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JEMSEK MD (OWNER)
(704) 987-2111
Entity
Organization
Contact information
Practice address
14430 OAKHILL PARK LN STE 100, HUNTERSVILLE, NC 28078
(704) 987-2111
(704) 987-2113
Mailing address
PO BOX 1589, HUNTERSVILLE, NC 28070-1589
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
09209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3405087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2006
Last updated
05/04/2010
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