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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up