Organization
THE JEFFERSONS DRUG STORES INC
Active
Other names
PEOPLES REXALL DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL BADGER (R.PH.)
(336) 246-9990
Entity
Organization
Contact information
Practice address
423 E 2ND ST, WEST JEFFERSON, NC 28694-9757
(336) 246-9990
(336) 246-6069
Mailing address
423 E 2ND ST, WEST JEFFERSON, NC 28694-9757
(336) 246-9990
(336) 246-6069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7701140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701140
—
NC
Enumeration date
08/22/2007
Last updated
08/22/2007
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