Provider Demographics
NPI:1932212925
Name:COMMUNITY PHARMACY OF MARION LLC.
Entity Type:Organization
Organization Name:COMMUNITY PHARMACY OF MARION LLC.
Other - Org Name:MARION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CPHT
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-652-4661
Mailing Address - Street 1:232 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4551
Mailing Address - Country:US
Mailing Address - Phone:828-652-4661
Mailing Address - Fax:828-652-1085
Practice Address - Street 1:232 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4551
Practice Address - Country:US
Practice Address - Phone:828-652-4661
Practice Address - Fax:828-652-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
NC018993336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2066365OtherPK