Provider Demographics
NPI:1386077634
Name:THREE GUYS PHARMACY
Entity type:Organization
Organization Name:THREE GUYS PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:ELLERY
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-214-0565
Mailing Address - Street 1:2479 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5201
Mailing Address - Country:US
Mailing Address - Phone:336-570-2273
Mailing Address - Fax:336-350-8534
Practice Address - Street 1:2479 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5201
Practice Address - Country:US
Practice Address - Phone:336-570-2273
Practice Address - Fax:336-350-8534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy