Organization
KOONCE DRUG COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STERLING G KOONCE RPH (OWNER)
(910) 653-6805
Entity
Organization
Contact information
Practice address
112 E 7TH AVE, CHADBOURN, NC 28431-1402
(910) 654-4194
(910) 654-4438
Mailing address
112 E 7TH AVE, CHADBOURN, NC 28431-1402
(910) 654-4194
(910) 654-4438
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245035
—
NC
Enumeration date
08/23/2006
Last updated
07/30/2020
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