Lake Brandt Pharmacy Inc

NPI 1043405459 - Pharmacy - 3336C0003X

NPI Details
NPI 1043405459
Enumeration Date 09/10/2007
Last Updated 05/16/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MONICA MONICA
Position PRESIDENT
Phone (336) 643-2550
Fax (336) 643-2115
Practice Location
1007 E HWY 150 WEST
SUMMERFIELD NC, 27358, US
Phone (336) 643-2550
Fax (336) 643-2115
Business Location
1007 E HWY 150 WEST
SUMMERFIELD NC, 27358, US
Phone (336) 643-2550
Fax (336) 643-2115
Toxanomy
Taxonomy Code 3336C0003X
License State North Carolina
License Number 09907
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According to our database, Lake Brandt Pharmacy Inc NPI is 1043405459, taxonomy code is 3336C0003X and license number is 09907, license state is located at North Carolina. Lake Brandt Pharmacy Inc physically located at 1007 E Hwy 150 West, Summerfield NC, 27358. NPI Number 1033115704 has the healthcare provider type.

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1043405459 NPI number is provided on an as is basis without warranty of any kind. 1043405459 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Brandt Pharmacy Inc are for informational purposes only.