Old Main Pharmacy INC

NPI #1417205410 in Rowland, North Carolina

Provider Information

NPI Number
1417205410
Entity Type
Organization
Organization Name
Old Main Pharmacy INC
Subpart
Yes (part of a larger organization)
Parent Organization
OLD MAIN PHARMACY INC
Primary Specialty
Pharmacy
Enumeration Date
Aug 22, 2012
Last Updated
Aug 22, 2012

Practice Location

Address
101 S BOND ST
ZIP Code
28383-9639
Phone
(910) 422-3774

Authorized Official

Name
DR. JUSTIN DANIEL, PHARMD
Title
PRESIDENT/OWNER
Phone
(910) 422-3774

Specialties & Taxonomy Codes

Specialty
Pharmacy

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