Organization
STEDMAN DRUG CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN BRISSON HOWARD (ASSISTANT MANAGER)
(910) 323-4555
Entity
Organization
Contact information
Practice address
7445 CLINTON RD, STEDMAN, NC 28391-8901
(910) 323-4555
(910) 483-0515
Mailing address
PO BOX 625, STEDMAN, NC 28391-0625
(910) 323-4555
(910) 483-0515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
04621
NC
3336C0003X
Community/Retail Pharmacy
Primary
04621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265652
—
NC
Enumeration date
05/04/2011
Last updated
05/04/2011
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