NPI | 1952881401 |
---|---|
Doing Business As | FAMILY PHARMACY #28 |
Entity Type | Organization |
Authorized Contact | ROY MEIDINGER Vice President 980-422-3584 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-15 |