Provider Demographics
NPI:1427131804
Name:GUY'S FAMILY PHARMACY, INC.
Entity type:Organization
Organization Name:GUY'S FAMILY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-476-5632
Mailing Address - Street 1:817 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-5714
Mailing Address - Country:US
Mailing Address - Phone:336-476-5632
Mailing Address - Fax:336-476-5649
Practice Address - Street 1:817 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5714
Practice Address - Country:US
Practice Address - Phone:336-476-5632
Practice Address - Fax:336-476-5649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5404332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3428489OtherNABP NUMBER
NC5404OtherNC PHARMACY PERMIT NUMBER
NCC08403844Medicaid
NCC08403844Medicaid
NCC08403844Medicaid