Mintz Coastal Drug Store INC
NPI #1700925898 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1700925898
- Entity Type
- Organization
- Organization Name
- Mintz Coastal Drug Store INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Mar 12, 2013
Practice Location
- Address
- 4802 MAIN STREET
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-1863
- Phone
- (910) 754-6563
Authorized Official
- Name
- MS. THERESA LOU MINTZ
- Title
- PRESIDENT, MANAGER
- Phone
- (910) 754-6563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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