Organization
SEAGROVE DRUG
Active
Other names
co-care medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON STANLEY HAYWOOD RPH (CEO)
(336) 626-3555
Entity
Organization
Contact information
Practice address
900 NORTH FAYETTEVILLE STREET, ASHEBORO, NC 27203-4642
(336) 626-3555
(336) 625-2355
Mailing address
900 NORTH FAYETTEVILLE STREET, ASHEBORO, NC 27203-4642
(336) 626-3555
(336) 625-2355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700676
—
NC
05
—
7795155
—
NC
Enumeration date
10/04/2006
Last updated
08/22/2020
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