Organization
ELK PHARMACY INC
Active
Other names
ELK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY IRWIN RPH (OWNER PHARMACIST)
(336) 835-2621
Entity
Organization
Contact information
Practice address
116 E MAIN ST, ELKIN, NC 28621-3429
(336) 835-2621
(336) 835-2419
Mailing address
116 E MAIN ST, ELKIN, NC 28621-3429
(336) 835-2621
(336) 835-2419
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865014
—
NC
01
—
2065840
PK
—
Enumeration date
09/12/2006
Last updated
12/18/2016
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