Organization
DAVIS DRUG COMPANY OF KENLY, INC.
Active
Other names
Davis Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK ELLIOT WILEY PHARM D (PRESIDENT/PHARMACIST MANAGER)
(919) 284-2010
Entity
Organization
Contact information
Practice address
103 W 2ND ST., KENLY, NC 27542-0235
(919) 284-2010
(919) 284-2231
Mailing address
PO BOX 235, 103 W 2ND ST., KENLY, NC 27542-0235
(919) 284-2010
(919) 284-2231
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515679
—
NC
Enumeration date
11/01/2006
Last updated
11/04/2016
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