Organization
MITCHELL AND JOHNSON PHCY INC
Active
Other names
Island Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MITCHELL (VP PHARMACY MANAGER)
(828) 632-3545
Entity
Organization
Contact information
Practice address
2187 OLD MOUNTAIN RD, STATESVILLE, NC 28625-1631
(704) 873-0000
Mailing address
2187 OLD MOUNTAIN RD, STATESVILLE, NC 28625-1631
(704) 873-0000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065894
PK
—
Enumeration date
07/29/2006
Last updated
02/20/2017
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