Organization
KERR DRUG INC
Active
Other names
KERR DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREGORY RPH (VP OF PHARMACY)
(919) 544-3896
Entity
Organization
Contact information
Practice address
4441 SIX FORKS RD, NORTH HILLS MALL, RALEIGH, NC 27609-5729
(919) 787-1155
(919) 787-1164
Mailing address
3220 SPRING FOREST RD, RALEIGH, NC 27616-2822
(919) 544-3896
(919) 544-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929504
—
NC
01
—
3434468
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/20/2006
Last updated
03/24/2011
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