Organization
REALO DISCOUNT DRUG STORES OF PINK HILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GREGG WIGGINS JR. R.PH. (PHARMACIST-MANAGER)
(252) 568-3161
Entity
Organization
Contact information
Practice address
107 W BROADWAY ST, PINK HILL, NC 28572-7998
(252) 568-3161
(252) 568-2339
Mailing address
PO BOX 609, PINK HILL, NC 28572-0609
(252) 568-3161
(252) 568-2339
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3435078
NCPDP
NC
Enumeration date
09/29/2008
Last updated
06/25/2009
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