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Contact Information

SOUTHERN PINES PRESCRIPTION SHOP INC
300 MIDDLETON ST
ROBBINS, NC27325
 Phone: 910-948-2921
 Fax: 910-948-3477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN PINES PRESCRIPTION SHOP INC

NPI # 1164560009
LBN Legal business name SOUTHERN PINES PRESCRIPTION SHOP INC
Authorized official JON MCCLAIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 05/31/2018 - About 8 years ago
Identifiers
NC License # 10391
NC Medicaid 1164560009
Other 2123091 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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