Medicine Mart Ltc, Llc
Long Term Care Pharmacy
214 S Main St, Tabor City
North Carolina, 28463-1904
910-653-6804 910-653-4915
Medicine Mart Ltc, Llc is a Long Term Care Pharmacy in Tabor City, North Carolina. It is located at 214 S Main St, Tabor City and it's customer support contact number is 910-653-6804. The authorized person of Medicine Mart Ltc, Llc is Sterling G Koonce, RPH who is Managing Agent of the pharmacy and his contact number is 910-653-6805. Active license number of Medicine Mart Ltc, Llc is 084535 for Long Term Care Pharmacy in North Carolina.
Medicine Mart Ltc, Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Medicine Mart Ltc, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Medicine Mart Ltc, Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 214 S Main St, Tabor City,
North Carolina, 28463-1904 |
| Phone: | 910-653-6804 |
| Fax: | 910-653-4915 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Sterling G Koonce |
| Credentials: | RPH |
| Position: | Managing Agent |
| Contact Number: | 910-653-6805 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1174639041 |
| NPI Enumeration Date: | 22 Aug, 2006 |
| NPI Last Update On: | 30 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medicine Mart Ltc, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 084535 | North Carolina | Primary | |
| Specialty Pharmacy | 08435 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0245845 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 550,
Tabor City, North Carolina |
| Zip: | 28463-0550 |
| Phone Number: | 910-653-6804 |
| Fax Number: | 910-653-4915 |
Patients can reach Medicine Mart Ltc, Llc at
214 S Main St, Tabor City, North Carolina or can
call on customer care at 910-653-6804.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.