Organization
HUDSON DISCOUNT DRUG INC
Active
Other names
COLLEGE DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN REECE RPH (PRESIDENT)
(828) 728-3561
Entity
Organization
Contact information
Practice address
721 MALCOLM BLVD, RUTHERFORD COLLEGE, NC 28638
(828) 874-5100
(828) 874-2843
Mailing address
721 MALCOLM BLVD, RUTHERFORD COLLEGE, NC 28638
(828) 874-5100
(828) 874-2843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8246
NC
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125550
—
NC
01
—
3440586
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/27/2007
Last updated
06/19/2009
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