Provider Demographics
NPI:1063087195
Name:HAPPY MEDS LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:HAPPY MEDS LIMITED LIABILITY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:T
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-719-0679
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:MINERAL SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28108-0128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5910 WAXHAW HWY 75
Practice Address - Street 2:SUITE A
Practice Address - City:MINERAL SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28108
Practice Address - Country:US
Practice Address - Phone:704-256-3228
Practice Address - Fax:704-256-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy