Organization
COMMUNITY DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W FULTON RPH (PHARMACY MANAGER)
(336) 248-5255
Entity
Organization
Contact information
Practice address
206 W CENTER ST STE A, LEXINGTON, NC 27292-3056
(336) 248-5255
(336) 249-2610
Mailing address
206 W CENTER ST STE A, LEXINGTON, NC 27292-3056
(336) 248-5255
(336) 249-2610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00958
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295006
—
NC
Enumeration date
11/29/2006
Last updated
08/22/2020
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