Organization
PWP MEDICAL INC
Active
Other names
BETHEL PHARMACY, PWP MEDICAL INC, dba BETHEL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE PREAST RPH (PRESIDENT)
(252) 825-6331
Entity
Organization
Contact information
Practice address
7433 MAIN ST, BETHEL, NC 27812
(252) 825-7271
(252) 825-2976
Mailing address
PO BOX 428, BETHEL, NC 27812-0428
(252) 825-7271
(252) 825-2976
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745845
—
NC
01
—
2065186
PK
—
Enumeration date
02/20/2007
Last updated
11/16/2019
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