Organization
EGB ENTERJPRISES
Active
Other names
Village Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE G BROWN JR. RPH (PHARMACIST)
(910) 646-3400
Entity
Organization
Contact information
Practice address
108 E HWY 7476, LAKE WACCAMAW, NC 28450
(910) 646-3400
(910) 646-4056
Mailing address
108 E HWY 7476, LAKE WACCAMAW, NC 28450
(910) 646-3400
(910) 646-4056
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03991
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245530
—
NC
Enumeration date
11/03/2010
Last updated
11/03/2010
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