Organization
B&B ENTERPRISES OF FAY INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA HALL FONVILLE R.PH. (PHARMACIST)
(910) 486-5936
Entity
Organization
Contact information
Practice address
1431 RAMSEY ST, FAYETTEVILLE, NC 28301-4405
(910) 486-5936
(910) 486-9227
Mailing address
1431 RAMSEY ST, FAYETTEVILLE, NC 28301-4405
(910) 486-5936
(910) 486-9227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
3336C0003X
Community/Retail Pharmacy
Primary
5638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265868
—
NC
01
—
0409E
BCBS
NC
01
—
3430585
NCPDP #
NC
05
—
7701392
—
NC
Enumeration date
02/24/2007
Last updated
03/07/2023
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