Medicine Mart Ltc, LLC
NPI #1174639041 in Tabor City, North Carolina
Provider Information
- NPI Number
- 1174639041
- Entity Type
- Organization
- Organization Name
- Medicine Mart Ltc, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Jul 30, 2020
Practice Location
- Address
- 214 S MAIN ST
- City
- Tabor City
- State
- North Carolina
- ZIP Code
- 28463-1904
- Phone
- (910) 653-6804
Authorized Official
- Name
- STERLING G KOONCE, RPH
- Title
- MANAGING AGENT
- Phone
- (910) 653-6805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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