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Organization

THE OLD NORTH STATE DRUG CO

Active
Other names
LEXINGTON DRUG COMPANY
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE HUDSON MOTLOW RPH (OWNER PRESIDENT)
(336) 248-5623
Entity
Organization

Contact information

Practice address
405 E CENTER ST, LEXINGTON, NC 27292-4109
(336) 248-5623
(336) 248-6722
Mailing address
405 E CENTER ST, LEXINGTON, NC 27292-4109

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05527
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
295527
NC
01
3408300
OTHER ID NUMBER-COMMERCIAL NUMBER
05
7701779
NC
Enumeration date
09/21/2006
Last updated
05/29/2013
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