Organization
COMMUNITY PHARMACY OF LINCOLNTON LLC
Active
Other names
The Drug Store - Lincolnton
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICHARDS (OWNER/TREASURER)
(704) 904-3287
Entity
Organization
Contact information
Practice address
626 CENTER DR, LINCOLNTON, NC 28092-3712
(704) 735-2556
(704) 735-1656
Mailing address
626 CENTER DR, LINCOLNTON, NC 28092-3712
(704) 735-2556
(704) 735-1656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147411
PK
—
Enumeration date
07/13/2006
Last updated
01/18/2017
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