Kernersville Pharmacy

LBN: Kernersville Pharmacy Llc
Kernersville Pharmacy is an health care organization with primary practice located at 841 Old Winston Rd Ste 90 , Kernersville NC 27284-7145. 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. Kernersville Pharmacy Llc can be contacted via phone (336) 497-4511, or through Watts, Stanley via phone (336) 497-4511.

Contact Information

Primary practice address
841 Old Winston Rd Ste 90 Kernersville NC 27284-7145
Phone: (336) 497-4511
Fax: (336) 497-4511
Website:
Map and Directions
Authorized official contact:
Name: Watts, Stanley BS PHARMACY
Phone: (336) 497-4511

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10521 North Carolina

Profile Details

NPI number 1467770644
LBN Legal business name Kernersville Pharmacy Llc
DBA Doing business as Kernersville Pharmacy
Authorized official Watts, Stanley BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2010
Last updated Apr 12th, 2017 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467770644 NPPES
Other 2124794 PK
MEDICAID 0347780 PK

Popular Providers