Organization
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC.
Active
Other names
Realo Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH MCLAUGHLIN JR. RPH (PRESIDENT)
(252) 639-9006
Entity
Organization
Contact information
Practice address
2680 HENDERSON DR, UNIT 1, JACKSONVILLE, NC 28546-5296
(910) 455-9982
(910) 455-9588
Mailing address
1301 COMMERCE DR, NEW BERN, NC 28562-2213
(252) 639-9006
(252) 638-9005
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
4913000002
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
4913000002
NC
3336C0003X
Community/Retail Pharmacy
Primary
08117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08117
NCBOP
NC
01
—
3440029
NCPDP NUMBER
NC
05
—
675628
—
NC
Enumeration date
07/19/2006
Last updated
01/11/2016
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