National Provider Identifier Database

ISLAND PHARMACY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ISLAND PHARMACY INC
210 S US HWY 64/264
MANTEO, NC27954
Phone: 252-473-5801
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ISLAND PHARMACY INC

NPI Number 1316598873
Legal business name
LBN
ISLAND PHARMACY INC
Authorized official KEVIN PHILLIPS - (RPH/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/26/2019
Last updated 09/26/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 0285294

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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