Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medicine Mart Ltc, LLC

Organization Long Term Care Pharmacy · NPI 1174639041

Medicine Mart Ltc, LLC is a Long Term Care Pharmacy in Tabor City, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

214 S Main St
Tabor City, NC 28463-1904
Phone: (910) 653-6804
Fax: (910) 653-4915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 084535 (NC)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 08435 (NC)

Record details

NPI number1174639041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sterling Koonce — Managing Agent · (910) 653-6805
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing addressPo Box 550, Tabor City, NC 28463-0550

Other providers in Tabor City