Organization
MARLEY DRUG INC
Active
Other names
MARLEY DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES KINLEY (OFFICER OF MARLEY DRUG AND CFO)
(204) 478-5604
Entity
Organization
Contact information
Practice address
5008 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-7276
(336) 771-7672
(336) 771-9921
Mailing address
5008 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-7276
(336) 771-7672
(336) 771-9921
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
08320
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347123
—
NC
01
—
2069685
PK
—
Enumeration date
09/20/2006
Last updated
01/19/2021
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