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TABOR CITY MEDICINE MART INC NPI 1801513189


NPI Information

NPI: 1801513189
Provider Name: TABOR CITY MEDICINE MART, INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
220 S MAIN ST
TABOR CITY, NC
ZIP 28463
Phone: (910) 653-4800
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TABOR CITY MEDICINE MART, INC is a long term care pharmacy pharmacy in Tabor City, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. TABOR CITY MEDICINE MART, INC NPI is 1801513189. The provider is registered as an organization entity type.

The provider's business location address is:

220 S MAIN ST
TABOR CITY, NC
ZIP 28463-904
Phone: (910) 653-4800
Fax: (910) 653-4915

The provider's authorized official is Sterling Grady Koonce .
The authorized official title is Owner and has the following contact phone number (910) 653-6804.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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