Individual
MR. JIM N TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5227
(910) 671-5212
Mailing address
603 W 24TH ST, LUMBERTON, NC 28358-3515
(910) 739-4919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4982
STATE PHARMACY LISCENSE
NC
Enumeration date
12/19/2005
Last updated
03/05/2009
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