Organization
HEALTH FIRST PHARMACY OF WAKE FOREST LLC
Active
Other names
HealthSmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN HOLT (OWNER)
(919) 569-0500
Entity
Organization
Contact information
Practice address
2001 S MAIN ST, WAKE FOREST, NC 27587-1649
(919) 569-0500
(919) 556-4288
Mailing address
2001 S MAIN ST, WAKE FOREST, NC 27587-1649
(919) 569-0500
(919) 556-4288
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0887912/31/2016
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920745
—
NC
01
—
2067558
PK
—
05
—
7704226
—
NC
Enumeration date
11/29/2006
Last updated
09/27/2017
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