Organization
FAIR BLUFF DISCOUNT DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HUBERT MEARES JR. (OWNER)
(910) 649-7555
Entity
Organization
Contact information
Practice address
1089 MAIN ST, FAIR BLUFF, NC 28439
(910) 649-7555
(910) 649-6424
Mailing address
PO BOX 346, FAIR BLUFF, NC 28439-0346
(910) 649-7555
(910) 649-6424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
04846
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245589
—
NC
Enumeration date
01/25/2007
Last updated
01/12/2008
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