Organization
CORNER DRUG STORES OF KNIGHTDALE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN WYATT ADAMS RPH (PRESIDENT)
(919) 261-6999
Entity
Organization
Contact information
Practice address
6905 KNIGHTDALE BLVD, SUITE 102, KNIGHTDALE, NC 27545-6505
(919) 261-6999
(919) 261-6012
Mailing address
303 N ARENDELL AVE, ZEBULON, NC 27597-2605
(919) 269-9998
(919) 269-9998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11853
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11853
NCBOP
NC
Enumeration date
03/04/2014
Last updated
03/04/2014
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