Organization
PHYSICIANS DISCOUNT DRUG LLC
Active
Other names
Physicians Discount Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HODGES (OWNER)
(919) 868-2086
Entity
Organization
Contact information
Practice address
741 TILGHMAN DR, STE A, DUNN, NC 28334-5507
(910) 230-0662
(910) 230-0664
Mailing address
741 TILGHMAN DR, STE A, DUNN, NC 28334-5507
(910) 230-0662
(910) 230-0664
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3458545
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/17/2011
Last updated
03/17/2015
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