Organization
WARD DRUG COMPANY OF NASHVILLE INC
Active
Other names
WARD DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GLISSON (OWNER PHCST)
(252) 459-2135
Entity
Organization
Contact information
Practice address
117 W CHURCH ST, NASHVILLE, NC 27856-1327
(252) 459-2135
(252) 459-5029
Mailing address
PO BOX 400, NASHVILLE, NC 27856-0400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04645
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0645267
—
NC
01
—
3424556
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7700844
—
NC
Enumeration date
08/20/2006
Last updated
03/26/2013
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