Alan Grey Banner in Statesville - Pharmacist

Alan Grey Banner - NPI 1073693776

Alan Grey Banner is a Pharmacist in Statesville, North Carolina. Alan Grey Banner practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Alan Grey Banner is 1073693776. The last update date is 2007-07-09.

Alan Grey Banner's current location address is 3478 E Broad St, Statesville, North Carolina. You can contact this provider via phone number 7048786681 and fax number 7048786684. The mailing address for Alan Grey Banner is 3478 E Broad St, Statesville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Grey Banner
Address 3478 E Broad St, Statesville, North Carolina
Phone Number 7048786681
Fax Number 7048786684
Sole Proprietor Y
Credentials RPH

NPI Number Detail

NPI Number 1073693776
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3478 E Broad St
City Statesville
State North Carolina (NC)
Post Code 286254523
Phone Number 7048786681
Fax Number 7048786684

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 5610
Definition:
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
496471 NC --

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FAQs about Alan Grey Banner

What is the Alan Grey Banner's unique identification number?

The Alan Grey Banner has been assigned the NPI (National Provider Identifier) Number 1073693776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Alan Grey Banner?

The Alan Grey Banner is situated at 3478 E Broad St, in the city of Statesville, state of NC, with the zip code 286254523.

What is the area of specialization for Alan Grey Banner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Alan Grey Banner is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.

On what date did the Alan Grey Banner receive the assignment of its 1073693776 from the Centers for Medicare & Medicaid Services?

The Alan Grey Banner was issued its 1073693776 by the Centers for Medicare & Medicaid Services on 2006-10-17.

When was the Alan Grey Banner's information last updated?

The Alan Grey Banner's information was last updated on 2007-07-09.

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