Organization
SPEARS PHARMACY INC
Active
Other names
SPEARS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SPEARS BS PHARMACY (OWNER PHCST)
(252) 537-1146
Entity
Organization
Contact information
Practice address
405 BECKER DR, ROANOKE RAPIDS, NC 27870-3301
(252) 537-1146
(252) 537-1147
Mailing address
405 BECKER DR, ROANOKE RAPIDS, NC 27870-3301
(252) 537-1146
(252) 537-1147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425322
—
NC
01
—
2068859
PK
—
Enumeration date
11/01/2006
Last updated
08/12/2016
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