Organization
KERR DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAY STEWART (DIR OF PHCY ADMIN)
(919) 544-3896
Entity
Organization
Contact information
Practice address
8995 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9116
(843) 410-0701
(843) 410-0714
Mailing address
PO BOX 75678, CHARLOTTE, NC 28275-0678
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
509611
SC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4227193
NCPDP
SC
Enumeration date
09/10/2007
Last updated
04/23/2008
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