The Hawthorne Pharmacy Llc

LBN: The Hawthorne Pharmacy Llc
The Hawthorne Pharmacy Llc is an health care organization with primary practice located at 1622 South Hawthorne Road , Winston-Salem NC 27103-4103. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. The Hawthorne Pharmacy Llc can be contacted via phone (336) 768-1815, or through White, Amy M via phone (336) 768-1815.

Contact Information

Primary practice address
1622 South Hawthorne Road Winston-Salem NC 27103-4103
Fax: (336) 768-0518
Website:
Authorized official contact:
Name: White, Amy M RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X NC06232 North Carolina

Profile Details

NPI number 1366472292
LBN Legal business name The Hawthorne Pharmacy Llc
DBA Doing business as
Authorized official White, Amy M RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366472292 NPPES
North Carolina MEDICAID NC0346957

Popular Providers