Organization
HARRISBURGS HOMETOWN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE ANN MCDONALD RPH (PHARMACY MANAGER CO OWNER)
(704) 454-7948
Entity
Organization
Contact information
Practice address
5006 HWY 49 SOUTH, HARRISBURG, NC 28075
(704) 454-7948
(704) 455-8457
Mailing address
5006 HWY 49 SOUTH, HARRISBURG, NC 28075
(704) 454-7948
(704) 455-8457
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09104
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135935
—
NC
01
—
5534940001
MEDICARE
NC
Enumeration date
06/03/2006
Last updated
01/14/2019
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