Organization
PENSLOW PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY SPAINHOOR (OWNER)
(910) 324-6151
Entity
Organization
Contact information
Practice address
206 N DYSON ST, HOLLY RIDGE, NC 28445-8502
(910) 329-6151
Mailing address
PO BOX 146, HOLLY RIDGE, NC 28445-0146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
05390
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0675439
—
NC
01
—
3425255
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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