Organization
WEBSTERS PHARMACY
Active
Other names
BRADYS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BEN BRADY RPH (PRESIDENT/ PHARMACY MGR)
(910) 628-6362
Entity
Organization
Contact information
Practice address
214 S MAIN ST, FAIRMONT, NC 28340-1904
(910) 628-6362
(910) 628-9334
Mailing address
PO BOX 741, FAIRMONT, NC 28340-0741
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785295
—
NC
01
—
3405998
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
09/10/2010
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