Organization
PITTMAN'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G PITTMAN JR. RPH (OWNER)
(252) 794-3431
Entity
Organization
Contact information
Practice address
305 W GRANVILLE ST, WINDSOR, NC 27983-1815
(252) 794-3431
Mailing address
PO BOX 507, WINDSOR, NC 27983-0507
(252) 794-3431
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085076
—
NC
01
—
3423631
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/09/2009
Last updated
01/09/2009
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