| NPI | 1639535156 |
|---|---|
| Doing Business As | MEDICAL VILLAGE LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KELLY HINES CROSS Owner/ PIC 828-780-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12909) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2026-07-09 |