Old Main Pharmacy INC
NPI #1013152099 in Pembroke, North Carolina
Provider Information
- NPI Number
- 1013152099
- Entity Type
- Organization
- Organization Name
- Old Main Pharmacy INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 5, 2008
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 407 W 3RD ST
- City
- Pembroke
- State
- North Carolina
- ZIP Code
- 28372-7977
- Phone
- (910) 522-5500
Authorized Official
- Name
- JUSTIN DANIEL
- Title
- PRESIDENT/OWNER
- Phone
- (910) 521-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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