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Contact Information

MITCHENERS PHARMACY
301 S BROAD ST
EDENTON, NC27932-1933
 Phone: 252-482-3711
 Fax: 252-482-7244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for MITCHENERS PHARMACY

NPI Number 1174620017
LBN Legal business name MITCHENERS PHARMACY
Authorized official JOHN MITCHENER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 07/20/2007 - About 19 years ago
Identifiers
NC License # 06071
NC Medicaid 0215012
Other 3405758 OTHER ID NUMBER
Other 3405758 OTHER ID NUMBER-COMMERCIAL NUMBER
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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