Family Pharmacy Of Statesville

LBN: Family Pharmacy Of Statesville, Inc.
Family Pharmacy Of Statesville is an health care organization with primary practice located at 3478 E Broad St , Statesville NC 28625-4523. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Family Pharmacy Of Statesville, Inc. can be contacted via phone (704) 872-0296, or through Eudy, Joshua via phone (704) 872-0296.

Contact Information

Primary practice address
3478 E Broad St Statesville NC 28625-4523
Fax: (704) 883-5856
Website:
Authorized official contact:
Name: Eudy, Joshua BS

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04383 North Carolina
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1538145610
LBN Legal business name Family Pharmacy Of Statesville, Inc.
DBA Doing business as Family Pharmacy Of Statesville
Authorized official Eudy, Joshua BS
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 23rd, 2021 - about 4 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 1538145610 NPPES
Other 2069161 PK
MEDICAID 0495390 PK

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