Organization
EASTOVER DRUG LLC
Active
Other names
Eastover Drug
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY HAYES (PHARMACY MANAGER)
(910) 483-4555
Entity
Organization
Contact information
Practice address
3591 DUNN RD, EASTOVER, NC 28312-8794
(910) 483-4555
(910) 483-0996
Mailing address
3947 DUNN ROAD, PMB 200, FAYETEVILLE, NC 28312-8794
(910) 483-4555
(910) 483-0996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10486
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266477
—
NC
01
—
3418541
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2010
Last updated
12/09/2019
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