Organization
ETOWAH PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LONDON (PHARMACIST)
(828) 890-0022
Entity
Organization
Contact information
Practice address
6527 BREVARD RD., ETOWAH, NC 28729-0351
(828) 890-0022
Mailing address
6527 BREVARD ROAD, ETOWAH, NC 28729-0351
(828) 890-0022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7580
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445626
—
NC
01
—
3437894
NABP
NC
01
—
7580
PHARMACY PERMIT NUMBER
NC
Enumeration date
05/02/2007
Last updated
03/07/2023
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