Organization
HEALTH CARE SERVICES INC
Active
Other names
LANE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE TUCK RPH (OWNER AND PHARMACIST MGR)
(336) 272-7124
Entity
Organization
Contact information
Practice address
2021 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-3314
(336) 272-1169
(336) 272-2891
Mailing address
2021 MARTIN LUTHER KING JR DR, GREENSBORO, NC 27406-3314
(336) 272-1169
(336) 272-2891
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417386
—
NC
01
—
3406914
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/13/2006
Last updated
10/08/2010
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