Organization
ID CONSULTANTS PA
Active
Other names
IDC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL LAMB RPH MBA (PHCY DIR)
(704) 523-6049
Entity
Organization
Contact information
Practice address
4539 HEDGEMORE DR, STE 110, CHARLOTTE, NC 28209-3276
(704) 523-6049
(704) 523-6059
Mailing address
4539 HEDGEMORE DR, STE 110, CHARLOTTE, NC 28209-3276
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4223361
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/03/2007
Last updated
06/20/2008
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