Organization
HAW RIVER DRUG INC
Active
Other names
HAW RIVER DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SMITH RPH (PRES/PIC)
(336) 578-0202
Entity
Organization
Contact information
Practice address
740 E MAIN ST, HAW RIVER, NC 27258-9644
(336) 578-0202
(336) 578-0266
Mailing address
740 E MAIN ST, HAW RIVER, NC 27258-9644
(336) 578-0202
(336) 578-0266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015636
—
NC
01
—
2065967
PK
—
05
—
7200130
—
ME
Enumeration date
09/20/2006
Last updated
01/20/2016
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