MEDICARE: DOCS PHARMACY INC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1437596616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCS PHARMACY INC

Provider Business Mailing Address
First Line	:	2860 FREEDOM DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3856
Country	:	US
Telephone Number	:	704-900-6001
Fax Number	:	704-220-0543

Provider Business Practice Location Address
First Line	:	2860 FREEDOM DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3856
Country	:	US
Telephone Number	:	704-900-6001
Fax Number	:	704-900-6001

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	DR. MICHAEL ILODIGWE
Credential	:	PHARMD
Telephone Number	:	704-900-6001

Provider Enumeration Date	:	05/29/2013
Last Update Date	:	11/08/2019

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Directions to “DOCS PHARMACY INC ” Practice Location

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