Organization
W C ROSE DRUG STORE INC
Active
Organization
W C ROSE DRUG STORE INC
Active
Other names
Thomas Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN H ROSE BSN, RN, CPED (BILLING MANAGER)
(252) 237-1188
Entity
Organization
Contact information
Practice address
309-B NASH ST W, WILSON, NC 27893
(252) 237-1188
(252) 206-1990
Mailing address
309-B NASH ST W, WILSON, NC 27893
(252) 237-1188
(252) 206-1990
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
20989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04464
NC BOARD OF PHARMACY
NC
05
—
7700290
—
NC
01
—
7795295
MEDICAID O&P
NC
Enumeration date
01/09/2007
Last updated
05/24/2018
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