Organization
DDP PHARMACY, INC
Active
Other names
DRUGCO DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN S ISLES (GENERAL MANAGER)
(252) 537-7010
Entity
Organization
Contact information
Practice address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 537-7010
(252) 410-0743
Mailing address
107 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4911
(252) 537-7010
(252) 410-0743
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
05053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700278
—
NC
Enumeration date
05/19/2006
Last updated
03/26/2008
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