Old Main Pharmacy

LBN: Old Main Pharmacy Inc
Old Main Pharmacy is an health care organization with primary practice located at 407 W 3Rd St , Pembroke NC 28372-7977. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Old Main Pharmacy Inc can be contacted via phone (910) 522-5500, or through Daniel, Justin via phone (910) 521-5600.

Contact Information

Primary practice address
407 W 3Rd St Pembroke NC 28372-7977
Phone: (910) 522-5500
Fax: (910) 844-3017
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Justin
Phone: (910) 521-5600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 11213 North Carolina

Profile Details

NPI number 1013152099
LBN Legal business name Old Main Pharmacy Inc
DBA Doing business as Old Main Pharmacy
Authorized official Daniel, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2008
Last updated Feb 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013152099 NPPES
Other 2143626 PK

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