Organization
WHITE STAR DISCOUNT PHARMACY OF TROY INC
Active
Other names
White Star Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KARYEN BRANTLEY RPH (PRESIDENT)
(910) 572-4913
Entity
Organization
Contact information
Practice address
436 ALBEMARLE RD, TROY, NC 27371-3102
(910) 572-2129
(910) 572-9606
Mailing address
436 ALBEMARLE RD, TROY, NC 27371-3102
(910) 572-2129
(910) 572-9606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
04237
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0625095
—
NC
01
—
3421170
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/07/2013
Last updated
02/07/2013
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