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Organization

NORTHWESTERN DRUG CO INC

Active
Other names
TOWN AND COUNTRY DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
PHIL ICARD RPH (OWNER)
(828) 632-2278
Entity
Organization

Contact information

Practice address
53 E MAIN AVE, TAYLORSVILLE, NC 28681-2540
(828) 632-2278
(828) 632-6044
Mailing address
255 NC HIGHWAY 16 S, TAYLORSVILLE, NC 28681-3048
(828) 632-2278
(828) 632-6044

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
01435
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0025130
NC
01
2067500
PK
05
7702601
NC
Enumeration date
06/19/2006
Last updated
08/21/2023
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