MEDICARE: MEDICAL ARTS PHARMACY INC OF FOREST CITY

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
2	3336C0003X	Community/Retail Pharmacy	07543	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2067798	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760586721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ARTS PHARMACY INC OF FOREST CITY

Provider Business Mailing Address
First Line	:	924 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2518
Country	:	US
Telephone Number	:	828-245-7294
Fax Number	:	828-245-2406

Provider Business Practice Location Address
First Line	:	924 W MAIN ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-2518
Country	:	US
Telephone Number	:	828-245-7294
Fax Number	:	828-245-2406

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES LAMB
Credential	:
Telephone Number	:	828-245-7294

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	01/11/2016

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