Provider Demographics
NPI:1093437097
Name:BRYSON CITY PHARMACY INC
Entity Type:Organization
Organization Name:BRYSON CITY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:SPINN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:828-488-1705
Mailing Address - Street 1:PO BOX 2509
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-2509
Mailing Address - Country:US
Mailing Address - Phone:828-488-1705
Mailing Address - Fax:828-488-1707
Practice Address - Street 1:200 HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-9513
Practice Address - Country:US
Practice Address - Phone:828-488-1705
Practice Address - Fax:828-488-1707
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRYSON CITY PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy