Organization
ANGIER DISCOUNT DRUG OF NC LLC
Active
Other names
Angier Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAMS (PRESIDENT)
(910) 591-8709
Entity
Organization
Contact information
Practice address
253 N RALIEGH STREET, ANGIER, NC 27501
(919) 639-9623
(919) 639-9670
Mailing address
PO BOX 1837, ANGIER, NC 27501-1837
(919) 639-9623
(919) 639-9670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3419478
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/26/2010
Last updated
07/31/2012
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