Organization
CLINTON PHARMACY LLC
Active
Other names
Clinton Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BRYAN (MANAGING PARTNER)
(910) 385-1602
Entity
Organization
Contact information
Practice address
307 BEAMAN ST, CLINTON, NC 28328-2907
(910) 592-8444
(910) 592-6505
Mailing address
307 BEAMAN ST, CLINTON, NC 28328-2907
(910) 592-8444
(910) 592-6505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11778
NC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144114
PK
—
Enumeration date
03/07/2006
Last updated
07/15/2014
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