Organization
INNOVATIVE MEDS RX
Active
Other names
Gates Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL LUCAS EDLEN PHARMD (VICE-PRESIDENT)
(850) 776-3804
Entity
Organization
Contact information
Practice address
364 N SOUTH ST, MOUNT AIRY, NC 27030-3532
(336) 789-5050
(336) 786-7169
Mailing address
364 N SOUTH ST, MOUNT AIRY, NC 27030-3532
(336) 789-5050
(336) 786-7169
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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