Organization
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC
Active
Parent organization
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC.
Authorized official
MR. ROBERT JOSEPH MCLAUGHLIN JR. RPH (PRESIDENT)
(252) 514-0461
Entity
Organization
Contact information
Practice address
1301 COMMERCE DR, NEW BERN, NC 28562-2213
(252) 639-9006
(252) 639-9005
Mailing address
1301 COMMERCE DR, NEW BERN, NC 28562-2213
(252) 639-9006
(252) 639-9005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801191
MEDICARE IMMUNIZATION BILLER NUMBER
—
Enumeration date
10/28/2008
Last updated
12/19/2012
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