Organization
NORTHWOODS DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE F HERRING RPH (PRESIDENT)
(910) 347-2141
Entity
Organization
Contact information
Practice address
344 HENDERSON DR, JACKSONVILLE, NC 28540
(910) 347-2141
(910) 347-5681
Mailing address
344 HENDERSON DR, JACKSONVILLE, NC 28540
(910) 347-2141
(910) 347-5681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
05202
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NC
333600000X
Pharmacy
Primary
03028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442E
BLUE CROSS BLUE SHIELD
NC
05
—
0675199
—
NC
05
—
7700652
—
NC
Enumeration date
04/07/2006
Last updated
08/19/2010
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