NPI | 1538145610 |
---|---|
Doing Business As | FAMILY PHARMACY OF STATESVILLE |
Entity Type | Organization |
Authorized Contact | JOSHUA EUDY CEO 704-872-0296 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04383) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
333600000X Pharmacy | |
Enumeration Date | 2005-12-20 |
Last Update Date | 2021-06-23 |