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Organization

COMMUNITY PHARMACY OF ROXBORO INC

Active
Other names
Community Pharmacy Services Inc
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN MICHELLE CLARK PHARMD (PHARMACIST/OWNER)
(336) 599-9293
Entity
Organization

Contact information

Practice address
719 N. MAIN ST., ROXBORO, NC 27573
(336) 599-9293
(336) 599-4741
Mailing address
719 N. MAIN ST., ROXBORO, NC 27573
(336) 599-9293
(336) 599-4741

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12712
NC
333600000X
Pharmacy
Primary
10229
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03015
PHARMACY PERMIT
NC
01
10229
PHARMACY PERMIT
NC
01
3414113
NABP
05
73510-0
NC
Enumeration date
01/27/2006
Last updated
11/10/2023
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