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Eastside Pharmacy Services LLC — NPI 1902357130, Statesville, NC | NPI Central

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NPI 1902357130

OrganizationActive

Eastside Pharmacy Services LLC

NPI 1902357130 · Pharmacy · Statesville, NC

Provider details

NPI number: 1902357130
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Melinda Childress, Owner(704) 872-2604

Specialties & taxonomies

PharmacyPrimary333600000XLicense 13145 (NC)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

308a Mocksville Hwy

Statesville, NC 28625-8267

Phone: (704) 878-6681

Fax: (704) 878-6684

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

308a Mocksville Hwy

Statesville, NC 28625-8267

Other names (DBA / former)

Doing business as: Banner Drug Co
Doing business as: Banner Drug Co

Registry dates

Enumerated: 2016-10-24
Last updated: 2023-08-28
Certified: 2023-08-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.