Mount Gilead LLC

NPI #1104495522 in Mount Gilead, North Carolina

Provider Information

NPI Number
1104495522
Entity Type
Organization
Organization Name
Mount Gilead LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MOUNT GILEAD LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jun 21, 2021
Last Updated
Jun 21, 2021

Practice Location

Address
116 S MAIN ST
ZIP Code
27306-9254
Phone
(910) 439-6541

Authorized Official

Name
ANIL CHINAPAGA
Title
MANAGING MEMBER
Phone
(910) 439-6541

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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