Organization
INNES ST DRUG COMPANY INC
Active
Organization
INNES ST DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FULLER (PRESIDENT)
(704) 633-4521
Entity
Organization
Contact information
Practice address
112 S MAIN ST, SALISBURY, NC 28144-4942
(704) 633-4521
(704) 633-1893
Mailing address
PO BOX 4065, SALISBURY, NC 28145-4065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
05608
NC
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805465
—
NC
01
—
3410672
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
09/11/2025
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