Organization
REALO DISCOUNT DRUG STORES OF PINK HILL, INC.
Active
Other names
Realo Discount Drug Stores of Pink Hill, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WIGGINS BS, PHARMACY (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
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545673
—
NC
01
—
2119898
PK
—
Enumeration date
09/21/2006
Last updated
06/21/2016
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