MEDICARE: HAPPY MEDS LIMITED LIABILITY COMPANY

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	3336C0004X	Compounding Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1063087195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY MEDS LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	MINERAL SPRINGS
State	:	NC
Zip	:	28108-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5910 WAXHAW HWY 75
Second Line	:	SUITE A
City	:	MINERAL SPRINGS
State	:	NC
Zip	:	28108
Country	:	US
Telephone Number	:	704-256-3228
Fax Number	:	704-256-1820

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	JACOB T ABRAHAM
Credential	:	R.PH
Telephone Number	:	704-719-0679

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	09/13/2023

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Directions to “HAPPY MEDS LIMITED LIABILITY COMPANY ” Practice Location

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