Organization
GENE ANDERSON DRUG STORE INC.
Active
Other names
GENE ANDERSON DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE GIBSON ANDERSON RPH (OWNER)
(910) 862-8411
Entity
Organization
Contact information
Practice address
206 SOUTH POPLAR STREET, ELIZABETHTOWN, NC 28337
(910) 862-8411
(910) 862-8775
Mailing address
PO BOX 1749, ELIZABETHTOWN, NC 28337-1749
(910) 862-8411
(910) 862-8775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1114039260
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095208
—
NC
05
—
7700957
—
NC
Enumeration date
08/31/2006
Last updated
04/16/2010
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