Organization
ARCHDALE DRUG CO INC
Active
Other names
DEEP RIVER DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOSKINS BS PHARMACY (OWNER)
(336) 434-2776
Entity
Organization
Contact information
Practice address
2401 HICKSWOOD RD STE B, HIGH POINT, NC 27265-1538
(336) 454-3784
(336) 454-3830
Mailing address
2401 HICKSWOOD RD STE B, HIGH POINT, NC 27265-1538
(336) 454-3784
(336) 454-3830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08944
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418165
—
NC
01
—
2067702
PK
—
05
—
7704414
—
NC
Enumeration date
10/07/2006
Last updated
10/23/2019
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