Mayberry Pharmacy in Mount Airy - Community/retail Pharmacy
Mayberry Pharmacy - NPI 1891804084
Mayberry Pharmacy is a Community/retail Pharmacy in Mount Airy, North Carolina. Mayberry Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Mayberry Pharmacy is 1891804084. The last update date is 2020-08-22.
Mayberry Pharmacy's current location address is 933 Old Rockford St, Mount Airy, North Carolina. You can contact this provider via phone number 3367890424 and fax number 3367890157. The mailing address for Mayberry Pharmacy is 933 Old Rockford St, Mount Airy, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mayberry Pharmacy |
|---|---|
| Address | 933 Old Rockford St, Mount Airy, North Carolina |
| Phone Number | 3367890424 |
| Fax Number | 3367890157 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Johnson Allen Wallace |
| Telephone Number | 3367890424 |
NPI Number Detail
| NPI Number | 1891804084 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 933 Old Rockford St |
|---|---|
| City | Mount Airy |
| State | North Carolina (NC) |
| Post Code | 270305356 |
| Phone Number | 3367890424 |
| Fax Number | 3367890157 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 8125 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the unique provider identifier assigned to Mayberry Pharmacy?
The Mayberry Pharmacy has been issued the NPI (National Provider Identifier) 1891804084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mayberry Pharmacy located?
The Mayberry Pharmacy is located at 933 Old Rockford St, Mount Airy, NC 270305356.
What is Mayberry Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mayberry Pharmacy is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Mayberry Pharmacy receive the assignment of its 1891804084 from the Centers for Medicare & Medicaid Services?
The Mayberry Pharmacy was issued its 1891804084 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Mayberry Pharmacy most recently updated or revised?
The information pertaining to Mayberry Pharmacy, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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