Healthcare Provider Details

I. General information

NPI: 1750486494
Provider Name (Legal Business Name): SNEADS FERRY FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 OLD FOLKSTONE RD STE 214
SNEADS FERRY NC
28460-9414
US

IV. Provider business mailing address

1016 OLD FOLKSTONE RD STE 214
SNEADS FERRY NC
28460-9414
US

V. Phone/Fax

Practice location:
  • Phone: 910-327-2454
  • Fax: 910-327-2543
Mailing address:
  • Phone: 910-327-2454
  • Fax: 910-327-2543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number09236
License Number StateNC

VIII. Authorized Official

Name: SABRINA CUTLER
Title or Position: PHCY MGR
Credential: PHARMD
Phone: 910-327-2454