Organization
PEMBROKE DRUG HOLDINGS, LLC
Active
Other names
Pembroke Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEESE (MEMBER)
(910) 734-4896
Entity
Organization
Contact information
Practice address
205 W 3RD ST, PEMBROKE, NC 28372-8768
(910) 775-9209
(910) 775-9124
Mailing address
205 W 3RD ST, PEMBROKE, NC 28372-8768
(910) 734-4896
(910) 775-9124
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13076
NC
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588115463
—
NC
01
—
2165767
PK
—
Enumeration date
10/17/2016
Last updated
09/19/2025
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