Organization
MAST DRUG CO INC
Active
Organization
MAST DRUG CO INC
Active
Other names
Mast Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY BEAL (ADM MGR)
(252) 438-3112
Entity
Organization
Contact information
Practice address
6000 MEADOWBROOK MALL CT, STE 200, CLEMMONS, NC 27012-8112
(336) 712-0280
(336) 766-7208
Mailing address
1910 ROSS MILL RD, HENDERSON, NC 27537-8789
(252) 438-3112
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
05626
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3430725
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/22/2006
Last updated
12/16/2010
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