Organization
BEULAVILLE PHARMACY INC
Active
Other names
Beulaville Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DIXON (OWNER PHCY MANAGER)
(252) 626-4343
Entity
Organization
Contact information
Practice address
103 CROSSOVER RD, BEULAVILLE, NC 28518-8801
(910) 298-3093
Mailing address
PO BOX 429, BEULAVILLE, NC 28518-0429
(910) 298-3093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10177
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117564
PK
—
Enumeration date
10/24/2008
Last updated
01/17/2017
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