Old Main Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Rowland, NC
NPI 1649528613 · NPPES record last updated Aug 24, 2012
Key facts
- NPI
- 1649528613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 08381 (NC)
- Legal business name
- OLD MAIN PHARMACY INC.
- Practice address
- 101 S Bond St
Rowland, NC 28383-9639 - Phone
- (910) 422-3774
- Fax
- (910) 422-3752
- NPI assigned
- Aug 24, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- OLD MAIN PHARMACY INC.
Authorized official
- Name
- Dr. Justin Daniel, PHARMD
- Title
- President/Owner
- Phone
- (910) 521-5600
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Old Main Pharmacy Inc
- Part of
- Old Main Pharmacy Inc
Locations
101 S Bond St
Rowland, NC 28383
Phone (910) 422-3774
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 08381 | NC | Yes |
Addresses
Primary practice location
101 S Bond St
Rowland, NC 28383-9639
Mailing address
PO Box 2816
Pembroke, NC 28372-2816
Phone (910) 521-5600
Other names
- Old Main Pharmacy Store #2
Other providers in Rowland, NC
- Steven Lowery
- Demisa McCallum
- Takisha Brown McCollum
- Cherry Miles
- Old Main Pharmacy Inc
- Selethia Oxendine Locklear
- Personal Touch Family Care Home
- Personal Touch Family Care Home #2
- Personal Touch Family Care Home Inc
- Yasmine Nova Presley
All providers in Rowland, 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 Aug 24, 2012. 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.