Organization
VILLAGE PHARMACY LLC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI STORMS RPH PHARMD (OWNER)
(910) 483-3466
Entity
Organization
Contact information
Practice address
5106 HWY 87 S, STE 100, FAYETTEVILLE, NC 28306
(910) 483-3466
(910) 483-0366
Mailing address
5106 HWY 87 S, STE 100, FAYETTEVILLE, NC 28306
(910) 483-3466
(910) 483-0366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266326
—
NC
01
—
2065755
PK
—
Enumeration date
06/16/2006
Last updated
04/11/2017
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