Go Pharmacy, Inc

NPI 1033455175 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1033455175
Enumeration Date 12/18/2012
Last Updated 12/18/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRENTON BLAKE BRENTON
Position CEO
Phone (910) 646-6614
Fax (910) 646-6615
Practice Location
203 CHAUNCEY TOWN RD
SUITE B
LAKE WACCAMAW NC, 28450-2003, US
Phone (910) 646-6614
Fax (910) 646-6615
Business Location
PO BOX 479
LAKE WACCAMAW NC, 28450-0479, US
Phone (910) 646-6614
Fax (910) 646-6615
Toxanomy
Taxonomy Code 332B00000X
License State North Carolina
License Number 11191
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According to our database, Go Pharmacy, Inc NPI is 1033455175, taxonomy code is 332B00000X and license number is 11191, license state is located at North Carolina. Go Pharmacy, Inc physically located at 203 Chauncey Town Rd, Lake Waccamaw NC, 28450-2003. NPI Number 1033115704 has the healthcare provider type.

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1033455175 NPI number is provided on an as is basis without warranty of any kind. 1033455175 is maintained by the National Plan & Provider Enumeration System. The contents of Go Pharmacy, Inc are for informational purposes only.