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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us