Organization
NEWTON GROVE DRUG CO INC
Active
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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