Organization
DENVER PHARMACY
Active
Organization
DENVER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESIKA S PATEL (CO-CEO/ OWNER)
(704) 451-3790
Entity
Organization
Contact information
Practice address
3816 NC-16 BUSINESS, DENVER, NC 28037
(704) 451-5051
Mailing address
3816 NC-16 BUSINESS, DENVER, NC 28037
(704) 451-5051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801466370
—
NC
Enumeration date
06/28/2021
Last updated
07/01/2022
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