Healthcare Provider Details

I. General information

NPI: 1063087195
Provider Name (Legal Business Name): HAPPY MEDS LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 WAXHAW HWY 75 SUITE A
MINERAL SPRINGS NC
28108
US

IV. Provider business mailing address

PO BOX 128
MINERAL SPRINGS NC
28108-0128
US

V. Phone/Fax

Practice location:
  • Phone: 704-256-3228
  • Fax: 704-256-1820
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JACOB T ABRAHAM
Title or Position: PHARMACY MANAGER
Credential: R.PH
Phone: 704-719-0679