Organization
GWM ENTERPRISES
Active
Other names
DRUGCO
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS V MANN III (VP OPERATIONS)
(252) 537-7010
Entity
Organization
Contact information
Practice address
312 ACADEMY ST S, AHOSKIE, NC 27910-3200
(252) 332-4101
Mailing address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 537-7010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465252
—
NC
01
—
3438721
NABP
NC
Enumeration date
12/28/2006
Last updated
10/04/2018
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