Provider Information for 1760956080
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NORTH MAIN HEALTH INVESTORS INC
Other Names:Doing Business As:NORTH MAIN PHARMACYOrganization Subpart: NO
NPI: 1760956080
Last Updated: 2024-04-12
Certification Date: 2024-04-12
Certification Date: 2024-04-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760956080 | ||||||||
| Enumeration Date | 2019-01-21 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: TIMOTHY GERALD MATTHEWS Rph Title: President Phone: 3367567855 | ||||||||
| Mailing Address | 901 N MAIN ST MOUNT AIRY, NC 27030-3746 United States Phone: 336-756-7855 | Fax:336-756-7856 | ||||||||
| Primary Practice Address | 901 N MAIN ST MOUNT AIRY, NC 27030-3746 United States Phone: 336-756-7855 | Fax:336-756-7856 | ||||||||
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