Innovative Meds Rx
Pharmacy, Long Term Care Pharmacy in Mount Airy, NC. Organization (NPI-2).
NPI number1831937101
StatusActive
Last updated in NPPESJul 19, 2024
Details
- NPI
- 1831937101
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Meds Rx
- Organization subpart
- No
- Enumeration date
- Jul 19, 2024
- Certification date
- Jul 19, 2024
- Last updated
- Jul 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Gates Pharmacy Ltc (Doing Business As)
Practice location
364 N South StMount Airy, NC 27030-3532
Phone 336-789-5050 · Fax 336-786-7169
Mailing address
364 N South StMount Airy, NC 27030-3532
Phone 336-789-5050 · Fax 336-786-7169
Authorized official
Neil Lucas Edlen
Vice-President
8507763804
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