Organization
EASTSIDE PHARMACY SERVICES, LLC
Active
Other names
Banner Drug Downtown Satatesville
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA C CHILDRESS (PHARMACIST)
(704) 878-6681
Entity
Organization
Contact information
Practice address
307 N CENTER ST, STATESVILLE, NC 28677-4063
(704) 872-0880
Mailing address
308A MOCKSVILLE HWY, STATESVILLE, NC 28625-8267
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
08/28/2023
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