Organization
MAST DRUG CO INC
Active
Other names
MAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD I FLYE JR. (PRESIDENT)
(252) 438-3112
Entity
Organization
Contact information
Practice address
307 WEST BLVD, WILLIAMSTON, NC 27892-2145
(252) 792-1015
(252) 792-2174
Mailing address
805 S GARNETT ST, HENDERSON, NC 27536
(252) 438-3112
(252) 492-4096
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03766
NC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585091
—
NC
05
—
1609942366
—
NC
01
—
2068431
PK
—
05
—
7700506
—
NC
Enumeration date
11/27/2006
Last updated
08/25/2025
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