Organization
WOODARD DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HENRY CROCKER (OWNER)
(919) 936-3151
Entity
Organization
Contact information
Practice address
102 E EDWARDS ST, PRINCETON, NC 27569-7279
(919) 936-3151
(919) 936-3015
Mailing address
PO BOX 5, PRINCETON, NC 27569-0005
(919) 936-3151
(919) 936-3015
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003384652
—
NC
Enumeration date
11/12/2018
Last updated
10/21/2022
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