MEDICARE: MINT HILL PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	13104	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13104	OTHER	NC	NORTH CAROLINA BOARD OF PHARMACY PERMIT

General Provider Information

NPI Number	:	1144731431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINT HILL PHARMACY LLC

Provider Business Mailing Address
First Line	:	7200 MATTHEWS MINT HILL RD
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7593
Country	:	US
Telephone Number	:	704-910-2718
Fax Number	:	704-910-6441

Provider Business Practice Location Address
First Line	:	7200 MATTHEWS MINT HILL RD
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-7593
Country	:	US
Telephone Number	:	704-910-2718
Fax Number	:	704-910-6441

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PHILLIP L THORNTON
Credential	:
Telephone Number	:	704-910-2718

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	03/07/2023

Similar Medicare Providers

1538166426 — DR. PHILLIP L THORNTON R.PH, PH.D.
Practice Location Address:

7200 MATTHEWS MINT HILL RD
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Practice Location Address:

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1053855510 — MINT HILL PHARMACY LLC
Practice Location Address:

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1730030669 — KRISTY STEVENS
Practice Location Address:

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Practice Fax:

1437176138 — DR. KENYA A. MCNEAL-TRICE M.D.
Practice Location Address:

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1891988275 — MR. MICHAEL GALLETLY GOLEY CPNP
Practice Location Address:

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Directions to “MINT HILL PHARMACY LLC ” Practice Location

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