Organization
CABARRUS COUNTY COMMUNITY FREE CLINIC PHARMACY
Active
Other names
The Community Free Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN EMERY (PHARMACY MANAGER)
(704) 782-0650
Entity
Organization
Contact information
Practice address
528A LAKE CONCORD RD NE, CONCORD, NC 28025-2926
(704) 782-0650
(704) 721-6494
Mailing address
528A LAKE CONCORD RD NE, CONCORD, NC 28025-2926
(704) 782-0650
(704) 721-6494
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05619
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3460019
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/17/2012
Last updated
05/17/2012
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