Organization
CENTER STREET PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ELIOT KOONTZ RPH PHARM D (PHARMACY MGR)
(336) 248-5048
Entity
Organization
Contact information
Practice address
316 EAST CENTER STREET, LEXINGTON, NC 27292
(336) 248-5048
(336) 248-2102
Mailing address
316 EAST CENTER STREET, LEXINGTON, NC 27292
(336) 248-5048
(336) 248-2102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295113
—
NC
01
—
3408273
NCPOP
—
Enumeration date
05/02/2006
Last updated
03/07/2023
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