Organization
MEDICAL CENTER PHARMACY OF CHERRYVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DAVID KISER OFFICE MANAGER (OFFICE MANAGER)
(704) 435-3263
Entity
Organization
Contact information
Practice address
607 E ACADEMY ST, CHERRYVILLE, NC 28021
(704) 435-3263
(704) 435-9499
Mailing address
607 E ACADEMY ST, CHERRYVILLE, NC 28021
(704) 435-3263
(704) 435-9499
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02151
BOARD OF PHARMACY
NC
05
—
0365288
—
NC
01
—
7702072
DME MEDICAID
NC
Enumeration date
07/05/2006
Last updated
03/07/2023
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