NPI Code Details Logo

NPI 1194737734

NPI 1194737734 : MEDICINE BOX PHARMACY INC : FOREST CITY, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194737734
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MEDICINE BOX PHARMACY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/12/2006
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    664 S BROADWAY ST 
-----------------------------------------------------
    City                 |    FOREST CITY
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28043-4247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-245-1696
-----------------------------------------------------
    Fax                  |    828-245-3890
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    664 S BROADWAY ST 
-----------------------------------------------------
    City                 |    FOREST CITY
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28043-4247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-245-1696
-----------------------------------------------------
    Fax                  |    828-245-3890
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT /OWNER
-----------------------------------------------------
    Name                 |    MS. SHEILA E SHEHAN 
-----------------------------------------------------
    Credential           |    R.PH
-----------------------------------------------------
    Telephone            |    828-245-1696
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.