Southern Pines Prescription Shop Inc

LBN: Southern Pines Prescription Shop Inc
Southern Pines Prescription Shop Inc is an health care organization with primary practice located at 300 Middleton St , Robbins NC 27325. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Southern Pines Prescription Shop Inc can be contacted via phone (910) 948-2921, or through Mcclain, Jon via phone (910) 315-4445.

Contact Information

Primary practice address
300 Middleton St Robbins NC 27325
Phone: (910) 948-2921
Fax: (910) 948-3477
Website:
Map and Directions
Authorized official contact:
Name: Mcclain, Jon
Phone: (910) 315-4445

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10391 North Carolina

Profile Details

NPI number 1164560009
LBN Legal business name Southern Pines Prescription Shop Inc
DBA Doing business as
Authorized official Mcclain, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated May 31st, 2018 - about 8 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 1164560009 NPPES
Other 2123091 PK
MEDICAID 1164560009 PK

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