| NPI | 1538145610 |
|---|---|
| Doing Business As | FAMILY PHARMACY OF STATESVILLE |
| Doing Business As | PROVIDENCERX |
| Entity Type | Organization |
| Authorized Contact | JOSHUA EUDY CEO 704-872-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04383) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2025-03-06 |