Organization
BW II LLC
Active
Other names
HealthSmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE WHEELER RPH (OWNER PHARMACIST)
(919) 772-6902
Entity
Organization
Contact information
Practice address
127 MAST DR, GARNER, NC 27529-6718
(919) 772-6902
(919) 772-9025
Mailing address
127 MAST DR, GARNER, NC 27529-6718
(919) 772-6902
(919) 772-9025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
7696
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920175
—
NC
01
—
2801141
MEDICARE RAILROAD #
NC
01
—
3438288
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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