Organization
FAMILY CARE PHARMACY OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KING (PHARMACY MANAGER/PRESIDENT)
(910) 353-5050
Entity
Organization
Contact information
Practice address
114 MEMORIAL DR, SUITE B, JACKSONVILLE, NC 28546-6328
(910) 353-5050
(910) 238-4659
Mailing address
114 MEMORIAL DR, SUITE B, JACKSONVILLE, NC 28546-6328
(910) 353-5050
(910) 238-4659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
10242
NC
3336C0003X
Community/Retail Pharmacy
Primary
10242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675695
—
NC
05
—
7705209
—
NC
Enumeration date
07/27/2015
Last updated
07/27/2015
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