Organization
SHELBY DRUGSTORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BROOKS RPH (PRESIDENT/RX MANAGER)
(704) 487-2939
Entity
Organization
Contact information
Practice address
701 E GROVER ST, SHELBY, NC 28150-4035
(704) 487-2939
Mailing address
701 E GROVER ST, SHELBY, NC 28150-4035
(704) 487-2939
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235932
—
NC
01
—
3410800
NCPDP
NC
Enumeration date
08/26/2014
Last updated
08/26/2014
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