Organization
WAYNE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL W. DREW PHARMACIST (PHARMACIST)
(919) 735-2055
Entity
Organization
Contact information
Practice address
2302 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1726
(919) 735-2055
(919) 735-1109
Mailing address
2302 WAYNE MEMORIAL DRIVE, GOLDSBORO, NC 27534
(919) 735-2055
(919) 735-1109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
03033
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
03033
NC
335E00000X
Prosthetic/Orthotic Supplier
7795203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04814
OTHER INSURANCE
NY
01
—
0485Y
OTHER INSURANCE
NC
05
—
7700042
—
NC
Enumeration date
04/02/2007
Last updated
11/22/2011
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