Organization
MAST DRUG CO INC
Active
Other names
MAST FAMILY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD I FLYE JR. (PRESIDENT)
(252) 438-3112
Entity
Organization
Contact information
Practice address
418 DABNEY DR, HENDERSON, NC 27536-3944
(252) 438-4158
(252) 438-7183
Mailing address
805 S GARNETT ST, HENDERSON, NC 27536
(252) 438-3112
(252) 492-4096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0915397
—
NC
05
—
1235205873
—
NC
01
—
2065974
PK
—
05
—
7700133
—
NC
Enumeration date
11/27/2006
Last updated
08/25/2025
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