Organization
KERR DRUG INC
Active
Other names
KERR DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREGORY RPH (VP OF PHARMACY)
(919) 544-3896
Entity
Organization
Contact information
Practice address
722 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3574
(336) 789-9006
(336) 789-0537
Mailing address
3220 SPRING FOREST RD, RALEIGH, NC 27616-2822
(919) 544-3896
(919) 544-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865576
—
NC
01
—
3435523
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
02/24/2012
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