Organization
SOUTHERN PINES PRESCRIPTION SHOP INC
Active
Other names
McClain Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JON MCCLAIN (PRESIDENT)
(910) 315-4445
Entity
Organization
Contact information
Practice address
735 S BENNETT ST, SOUTHERN PINES, NC 28387-5921
(910) 246-9355
(910) 246-1755
Mailing address
735 S BENNETT ST, SOUTHERN PINES, NC 28387-5921
(910) 246-9355
(910) 246-1755
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140593
PK
—
Enumeration date
06/04/2013
Last updated
11/17/2014
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