Tabor City Medicine Mart

LBN: Tabor City Medicine Mart, Inc
Tabor City Medicine Mart is an health care organization with primary practice located at 220 S Main St , Tabor City NC 28463-1904. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tabor City Medicine Mart, Inc can be contacted via phone (910) 653-4800, or through Koonce, Sterling G via phone (910) 653-6805.

Contact Information

Primary practice address
220 S Main St Tabor City NC 28463-1904
Phone: (910) 653-4800
Fax: (910) 653-4915
Website:
Map and Directions
Authorized official contact:
Name: Koonce, Sterling G RPH
Phone: (910) 653-6805

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912013889
LBN Legal business name Tabor City Medicine Mart, Inc
DBA Doing business as Tabor City Medicine Mart
Authorized official Koonce, Sterling G RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 29th, 2020 - about 5 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 1912013889 NPPES
North Carolina MEDICAID 0245696

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