Organization
CREEDMOOR DRUG COMPANY
Active
Other names
CREEDMOOR DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WHEELER RPH (PRES/OWNER)
(919) 528-0041
Entity
Organization
Contact information
Practice address
108 N MAIN ST, CREEDMOOR, NC 27522
(919) 528-0041
(919) 528-3185
Mailing address
PO BOX 523, CREEDMOOR, NC 27522-0523
(919) 528-0041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395186
—
NC
05
—
1232740001
—
NC
01
—
2065737
PK
—
Enumeration date
09/21/2006
Last updated
03/29/2016
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