Mollie Calloway

Individual provider Active NPI Pharmacist · Mills River, NC

NPI 1992346258 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1992346258
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
29167 (NC)
Practice address
3338 Boylston Hwy
Mills River, NC 28759-4103
Phone
(828) 890-8159
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
29167NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc Past
since Oct 13, 2019
Accepting new patients
Ingles Markets Inc Past
since Oct 13, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29167 NC Yes

Addresses

Primary practice location

3338 Boylston Hwy
Mills River, NC 28759-4103

Mailing address

9911 Clarkes View PL NW
Concord, NC 28027-7235

Other providers in Mills River, NC

All providers in Mills River, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.