Organization
REALO DISCOUNT DRUG STORE OF GREENE CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN COLON LEWIS R.PH. (PHARMACIST MANAGER)
(252) 747-7004
Entity
Organization
Contact information
Practice address
104 PARKWOOD DR, SNOW HILL, NC 28580-1336
(252) 747-7004
(252) 747-1029
Mailing address
104 PARKWOOD DR, SNOW HILL, NC 28580-1336
(252) 747-7004
(252) 747-1029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
10514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184949810
—
NC
Enumeration date
02/29/2012
Last updated
02/29/2012
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