Organization
BREVARD DRUG COMPANY LLC
Active
Other names
BREVARD DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JACKSON (PRESIDENT)
(828) 883-9757
Entity
Organization
Contact information
Practice address
518 S BROAD ST, BREVARD, NC 28712-4438
(828) 883-9757
(828) 883-2156
Mailing address
518 S BROAD ST, BREVARD, NC 28712-4438
(828) 883-9757
(828) 883-2156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885294
—
NC
01
—
3411484
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/12/2008
Last updated
08/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us