Organization
NEWTON GROVE DRUG CO INC
Active
Other names
NEWTON GROVE DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY WILLIFORD (PRESIDENT)
(910) 594-1183
Entity
Organization
Contact information
Practice address
305 WEEKS CIRCLE, NEWTON GROVE, NC 28366
(910) 594-1183
(910) 594-1130
Mailing address
PO BOX 128, NEWTON GROVE, NC 28366-0128
(910) 594-1183
(910) 594-1130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0825067
—
NC
01
—
2066566
PK
—
Enumeration date
09/06/2006
Last updated
02/10/2015
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