Organization
PREVO DRUGS INC
Active
Other names
PREVO DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
LEON HAYWOOD (OWNER)
(336) 625-4311
Entity
Organization
Contact information
Practice address
363 SUNSET AVE, ASHEBORO, NC 27203-5611
(336) 625-4311
(336) 625-1966
Mailing address
PO BOX 1447, ASHEBORO, NC 27204-1447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765396
—
NC
01
—
3403463
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
02/12/2013
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