Organization
PEMBROKE DRUG CENTER
Active
Other names
Healthkeeperz
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY B BROOKS (PRESIDENT)
(910) 522-0001
Entity
Organization
Contact information
Practice address
4155 FERNCREEK DR, FAYETTEVILLE, NC 28314-2581
(910) 485-7131
(910) 485-7132
Mailing address
P.O. BOX 1030, PEMBROKE, NC 28372-1030
(910) 522-0009
(910) 521-5654
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704496
—
NC
Enumeration date
10/03/2006
Last updated
08/20/2009
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