Organization
SEASHORE DISCOUNT DRUGS, INC
Active
Other names
Seashore Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVIE WAGGETT RPH. (OWNER/PHARMACIST)
(910) 762-6278
Entity
Organization
Contact information
Practice address
2059 CAROLINA BEACH RD, WILMINGTON, NC 28401-7239
(910) 762-6278
(910) 343-0710
Mailing address
2059 CAROLINA BEACH RD, WILMINGTON, NC 28401-7239
(910) 762-6278
(910) 343-0710
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655126
—
NC
01
—
3400075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7700386
—
NC
Enumeration date
07/20/2011
Last updated
07/20/2011
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