Organization · NPI-2

Eiccua LLC

Pharmacy, Community/Retail Pharmacy · Wilson, NC

NPI number1629477377
StatusActive
Last updated in NPPESApr 25, 2016

Details

NPI
1629477377
Entity type
Organization (NPI-2)
Legal business name
Eiccua LLC
Organization subpart
No
Enumeration date
Aug 19, 2014
Last updated
Apr 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy12073NCYes

Other names

  • Wilsonvalue Drug Store (Doing Business As)

Practice location

404 Nash St Ne
Wilson, NC 27893-3743

Phone 252-293-4177 · Fax 252-293-4180

Mailing address

404 Nash St Ne
Wilson, NC 27893-3743

Phone 252-293-4177 · Fax 252-293-4180

Authorized official

Ijeoma Uwakwe
Pharmacist
2522934177

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