Provider Demographics
NPI:1174120109
Name:NOLANS FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:NOLANS FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FIONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-905-8874
Mailing Address - Street 1:2513 EASTCHESTER DR STE 119
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1666
Mailing Address - Country:US
Mailing Address - Phone:336-905-8874
Mailing Address - Fax:336-905-8150
Practice Address - Street 1:2513 EASTCHESTER DR STE 119
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1666
Practice Address - Country:US
Practice Address - Phone:336-905-8874
Practice Address - Fax:336-905-8150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy