Organization
PEMBROKE DRUG CENTER, INC.
Active
Other names
Healthkeeperz DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY B BROOKS (PRESIDENT)
(910) 522-0001
Entity
Organization
Contact information
Practice address
209 W 3RD ST, PEMBROKE, NC 28372-8768
(910) 522-0009
(910) 521-5654
Mailing address
PO BOX 1030, PEMBROKE, NC 28372-1030
(910) 522-0009
(910) 521-5654
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700141
—
NC
Enumeration date
01/20/2006
Last updated
09/21/2010
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