Organization
EASTOVER DRUG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN BRISSON HOWARD PHARMD (PHARMACIST)
(910) 483-4555
Entity
Organization
Contact information
Practice address
3591 DUNN RD, EASTOVER, NC 28312-8794
(910) 483-4555
(910) 483-0996
Mailing address
3591 DUNN RD, EASTOVER, NC 28312-8794
(910) 483-4555
(910) 483-0996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
10486
NC
3336C0003X
Community/Retail Pharmacy
Primary
10486
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266477
—
NC
Enumeration date
05/05/2011
Last updated
05/05/2011
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