Organization
CLINIC DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BENNETT RPH (OWNER)
(828) 584-0741
Entity
Organization
Contact information
Practice address
106 LINVILLE STREET, GLEN ALPINE, NC 28628-0836
(828) 584-0741
(828) 584-0744
Mailing address
106 LINVILLE ST, PO BOX 836, GLEN ALPINE, NC 28628
(828) 584-0741
(828) 584-0744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05572
NC
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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