| NPI | 1114407319 |
|---|---|
| Doing Business As | FAMILY PHARMACY #29 |
| Entity Type | Organization |
| Authorized Contact | ROY MEIDINGER Vice President 980-422-3584 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |