Organization
REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC
Active
Other names
Realo Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL J LEQUIRE PHARMD. (PHARMACIST-MANAGER)
(919) 934-2111
Entity
Organization
Contact information
Practice address
601 N 8TH ST, SUITE D, SMITHFIELD, NC 27577-4119
(919) 934-2111
(919) 934-2814
Mailing address
601 N 8TH ST, SUITE D, SMITHFIELD, NC 27577-4119
(919) 934-2111
(919) 934-2814
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515652
—
NC
01
—
3411080
NCPDP
NC
Enumeration date
12/15/2006
Last updated
03/07/2023
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