Organization
ARCHDALE DRUG CO INC
Active
Other names
ARCHDALE DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HOSKINS RPH (OWNER)
(336) 434-2776
Entity
Organization
Contact information
Practice address
11220 N MAIN ST, ARCHDALE, NC 27263-2891
(336) 434-2776
(336) 434-5441
Mailing address
11220 N MAIN ST, ARCHDALE, NC 27263-2891
(336) 434-2776
(336) 434-5441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765545
—
NC
01
—
2068357
PK
—
05
—
7703098
—
NC
Enumeration date
09/20/2006
Last updated
10/23/2019
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