Organization
BARBOUR DRUG INC
Active
Other names
Edgewood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER COCKMAN (OWNER)
(336) 584-8878
Entity
Organization
Contact information
Practice address
2213 EDGEWOOD AVE, BURLINGTON, NC 27215
(336) 584-8878
(336) 584-8816
Mailing address
2213 EDGEWOOD AVE, BURLINGTON, NC 27215-4547
(336) 584-8878
(336) 584-8816
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13502
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015859
—
NC
Enumeration date
07/16/2009
Last updated
06/11/2018
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