Organization
ANDERSONS DRUG STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENESE ANDERSON PEED PHARM D (PHARMACIST/OWNER)
(910) 862-8411
Entity
Organization
Contact information
Practice address
206 S. POPLAR ST., ELIZABETHTOWN, NC 28337
(910) 862-8411
(910) 862-8775
Mailing address
PO BOX 730, ELIZABETHTOWN, NC 28337-0730
(910) 862-8411
(910) 862-8775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
05/02/2019
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