Organization
BROGDEN CORPORATION
Active
Other names
Summerfield Pharmacy Immunization
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY LEE BROGDEN JR. RPH (PHARMACY MANAGER/PRESIDENT)
(336) 644-7058
Entity
Organization
Contact information
Practice address
4446 US HIGHWAY 220 N STE C, SUMMERFIELD, NC 27358-9415
(336) 644-7058
(336) 644-7297
Mailing address
4446 US HIGHWAY 220 N STE C, SUMMERFIELD, NC 27358-9415
(336) 644-7058
(336) 644-7297
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08993
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418181
—
NC
01
—
7704343
MEDICAID DME
NC
Enumeration date
06/16/2009
Last updated
06/16/2009
Update your record
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