Organization
SAM'S DRUG STORE OF ROBESON CO, LLC
Active
Other names
Remedy Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY WATERS III PHARM-D/ RPH (PRESIDENT)
(910) 774-4600
Entity
Organization
Contact information
Practice address
925 SEASIDE RD SW UNIT 1, OCEAN ISLE BEACH, NC 28469-6152
(910) 774-4600
(910) 739-7207
Mailing address
925 SEASIDE RD SW UNIT 1, OCEAN ISLE BEACH, NC 28469-6152
(910) 774-4600
(910) 739-7207
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09819
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785501
—
NC
05
—
0785759
—
NC
01
—
3427021
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
05/25/2011
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