Organization
JAYS HOMETOWN PHARMACY LLC
Active
Other names
Jay's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARTINO (PHARMACY OWNER/MANAGER)
(828) 443-1745
Entity
Organization
Contact information
Practice address
612 S STERLING ST, MORGANTON, NC 28655-3575
(828) 438-1866
(828) 438-1867
Mailing address
612 S STERLING ST, MORGANTON, NC 28655-3575
(828) 438-1866
(828) 438-1867
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770911414
—
NC
01
—
2142561
PK
—
Enumeration date
10/15/2013
Last updated
02/20/2017
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