Eastside Pharmacy Services, LLC
Organization Active NPI Community/Retail Pharmacy · Troutman, NC
NPI 1629630348 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1629630348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- EASTSIDE PHARMACY SERVICES, LLC
- Practice address
- 106 Wagner St
Troutman, NC 28166-9627 - Phone
- (704) 528-6611
- NPI assigned
- Jul 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Melinda C Childress
- Title
- Owner
- Phone
- (704) 878-6681
National Provider Directory
Locations
106 Wagner St
Troutman, NC 28166
Phone (704) 528-6611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
106 Wagner St
Troutman, NC 28166-9627
Mailing address
3478 E Broad St
Statesville, NC 28625-4523
Other names
- Banner Drug of Troutman
Other providers in Troutman, NC
- Bria Monique Coles
- Brittany Davenport
- Divine Healing Therapy
- Kristy Dobbins
- Dove Medical Supply Retail LLC
- Finley Chiropractic Center
- Catherine Willeford Forquer
- Yvonne Brown Foster
- Barbara Franklin
- Tammi Sue Gilbert-Chaffin
All providers in Troutman, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.