Organization
MAST DRUG CO INC
Active
Organization
MAST DRUG CO INC
Active
Other names
MAST LONG TERM CARE WILLIAMSTON
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY BEAL (ADMIN MGR)
(252) 438-3112
Entity
Organization
Contact information
Practice address
415 EAST BLVD, WILLIAMSTON, NC 27892-2731
(252) 792-8216
(252) 792-7330
Mailing address
1910 ROSS MILL RD, HENDERSON, NC 27537-8789
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585158
—
NC
01
—
3430307
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7701334
—
NC
05
—
8507376
—
VA
05
—
9800034
—
MD
Enumeration date
11/27/2006
Last updated
08/22/2020
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