# IREDELL DRUG CARE INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** banner drug co.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356491823
- **Authorized official:** MR. ALAN GREY BANNER R.PH. (PRESIDENT)
- **Authorized official phone:** (704) 878-6681

## Contact information

- **Practice address:** 3478 E BROAD ST, STATESVILLE, NC 28625-4523
- **Practice address phone:** (704) 878-6681
- **Practice address fax:** (704) 878-6684
- **Mailing address:** 3478 E BROAD ST, STATESVILLE, NC 28625-4523
- **Mailing address phone:** (704) 878-6681
- **Mailing address fax:** (704) 878-6684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 05610 | NC | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0496471 | — | NC |