NPI Registry
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Organization

HCC PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY LOCKLEAR MBA (VP OF CORPORATE AFFAIRS)
(910) 875-1032
Entity
Organization

Contact information

Practice address
402 S MAIN ST, RAEFORD, NC 28376-3223
(910) 875-4831
(910) 875-9658
Mailing address
402 S MAIN ST, RAEFORD, NC 28376-3223
(910) 875-4831
(910) 875-9658

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
07835
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0475078
NC
05
0475110
NC
01
3439189
OTHER ID NUMBER
05
7703001
NC
Enumeration date
07/21/2006
Last updated
01/31/2018
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