Organization
COMMUNITY PHARMACY, INC.
Active
Other names
Community Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAROQUE BS PHARMACY (PRESIDENT)
(252) 726-7787
Entity
Organization
Contact information
Practice address
3302 BRIDGES ST, STE A, MOREHEAD CITY, NC 28557-2983
(252) 726-7787
(252) 247-7795
Mailing address
3302 BRIDGES ST, STE A, MOREHEAD CITY, NC 28557-2983
(252) 726-7787
(252) 247-7795
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09027
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165430
—
NC
01
—
2068167
PK
—
Enumeration date
05/31/2006
Last updated
03/20/2017
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