Organization
BEAM & WEASE OF KINGS MOUNTAIN INC
Active
Other names
KM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DELLINGER PHARM.D. (OWNER)
(704) 739-1698
Entity
Organization
Contact information
Practice address
1106 SHELBY RD, KINGS MOUNTAIN, NC 28086-2742
(704) 739-1698
(704) 739-4248
Mailing address
1106 SHELBY RD, KINGS MOUNTAIN, NC 28086-2742
(704) 739-1698
(704) 739-4248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235855
—
NC
01
—
2065961
PK
—
Enumeration date
06/03/2006
Last updated
04/20/2016
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