Organization
DICKERSONS PHARMACY INC
Active
Other names
DICKERSONS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE DICKERSON RPH (PRES)
(910) 862-3465
Entity
Organization
Contact information
Practice address
503 DOCTORS DR, ELIZABETHTOWN, NC 28337
(910) 862-3465
(910) 862-4917
Mailing address
503 DOCTORS DR, PO BOX 426, ELIZABETHTOWN, NC 28337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095182
—
NC
01
—
2065838
PK
—
05
—
7701212
—
NC
Enumeration date
12/27/2006
Last updated
01/18/2017
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