Penslow Pharmacy

LBN: Penslow Pharmacy
Penslow Pharmacy is an health care organization with primary practice located at 206 N Dyson St , Holly Ridge NC 28445-8502. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Penslow Pharmacy can be contacted via phone (910) 329-6151, or through Spainhoor, Randy via phone (910) 324-6151.

Contact Information

Primary practice address
206 N Dyson St Holly Ridge NC 28445-8502
Phone: (910) 329-6151
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spainhoor, Randy
Phone: (910) 324-6151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 05390 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881609477
LBN Legal business name Penslow Pharmacy
DBA Doing business as
Authorized official Spainhoor, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2020 - 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 1881609477 NPPES
Other 3425255 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0675439 OTHER ID NUMBER-COMMERCIAL NUMBER

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