Organization
GKB INC
Active
Other names
Jefferson Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG K BOWER RPH (RPH OWNER)
(336) 246-9492
Entity
Organization
Contact information
Practice address
418 EAST MAIN ST, JEFFERSON, NC 28640
(336) 246-9492
(336) 846-6680
Mailing address
PO BOX 155, JEFFERSON, NC 28640
(336) 246-9492
(336) 846-6680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700417
—
NC
Enumeration date
09/18/2007
Last updated
09/18/2007
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