Healthcare Provider Details
I. General information
NPI: 1851538144
Provider Name (Legal Business Name): FUTRELL PHARMACY SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2009
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
123 EAST SOUTH MAIN STREET
LITTLETON NC
27850-0532
US
IV. Provider business mailing address
123 EAST SOUTH MAIN ST
LITTLETON NC
27850-0532
US
V. Phone/Fax
- Phone: 252-586-3414
- Fax: 252-586-5377
- Phone: 252-586-3414
- Fax: 252-586-5377
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 10217 |
| License Number State | NC |
VIII. Authorized Official
Name:
WILLIAM
R
FUTRELL
JR.
Title or Position: PHARMACIST OWNER
Credential: PHARMD
Phone: 252-534-6001