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OLD MAIN PHARMACY INC

Medical Equipment Supplier Yellow Pages

Pembroke, North Carolina

Provider NPI: 1013152099

Organization Information:
Organization Name:  OLD MAIN PHARMACY INC


Practice Location:
407 W 3RD ST  PEMBROKE, NC 28372 US
Tel: 910-522-5500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y333600000XSuppliers
Pharmacy
NC11213

Other Provider Identifiers:

IssuerNumberStateType
PK214362601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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