Ben Brady, RPH

Individual provider Active NPI Pharmacist · Fairmont, NC

NPI 1033592811 · NPPES record last updated Jun 30, 2015

Key facts

NPI
1033592811
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
6337 (NC)
Practice address
214 S Main St
Fairmont, NC 28340-1904
Phone
(910) 628-6362
Fax
(910) 628-9334
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6337NCMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6337 NC Yes

Addresses

Primary practice location

214 S Main St
Fairmont, NC 28340-1904

Mailing address

214 S Main St
Fairmont, NC 28340-1904
Phone (910) 628-6362

Other providers in Fairmont, NC

All providers in Fairmont, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.