Organization
TERMINAL DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY HARMON RPH (OWNER)
(252) 243-2102
Entity
Organization
Contact information
Practice address
408 NASH ST S, WILSON, NC 27893-3888
(252) 243-2102
(252) 243-6656
Mailing address
408 NASH ST S, WILSON, NC 27893-3888
(252) 243-2102
(252) 243-6656
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02647
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
02647
NC
333600000X
Pharmacy
02647
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
02647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3401685
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7700341
—
NC
Enumeration date
09/20/2006
Last updated
04/29/2008
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