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MAIN STREET PHARMACYLLC NPI 1902075286


NPI Information

NPI: 1902075286
Provider Name: MAIN STREET PHARMACY,LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D2201717

Address:
213 W MAIN ST
DURHAM, NC
ZIP 27701
Phone: (919) 688-1368
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MAIN STREET PHARMACY,LLC is a durable medical equipment medical supplies in Durham, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MAIN STREET PHARMACY,LLC NPI is 1902075286. The provider is registered as an organization entity type.

The provider's business location address is:

213 W MAIN ST
DURHAM, NC
ZIP 27701-213
Phone: (919) 688-1368

The provider's authorized official is Finny Joseph .
The authorized official title is Owner and has the following contact phone number (919) 688-1368.

The CLIA number assigned to this NPI record is 34D2201717 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 7/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies09053NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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