Organization
KENLY DRUG & PHARMACY INC
Active
Other names
KENLY DRUG & PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN DAVIS RPH (OWNER)
(919) 284-2333
Entity
Organization
Contact information
Practice address
104 E 2ND ST, KENLY, NC 27542-7791
(919) 284-2333
(919) 284-2717
Mailing address
PO BOX 147, KENLY, NC 27542-0147
(919) 284-2333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505172
—
NC
01
—
2069411
PK
—
Enumeration date
07/09/2006
Last updated
05/18/2017
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