Provider Demographics
NPI:1336632405
Name:WILKES PHARMACY INC
Entity Type:Organization
Organization Name:WILKES PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LADANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-667-9347
Mailing Address - Street 1:1300 WESTWOOD LN STE A
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-2638
Mailing Address - Country:US
Mailing Address - Phone:336-667-9347
Mailing Address - Fax:336-667-9350
Practice Address - Street 1:1300 WESTWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-2638
Practice Address - Country:US
Practice Address - Phone:336-667-9347
Practice Address - Fax:336-667-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC137683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy