Organization
DSD PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOBUS VIGGO DODOO RPH (PHARMACIST / OWNER)
(704) 675-1387
Entity
Organization
Contact information
Practice address
1401 E FRANKLIN BLVD, GASTONIA, NC 28054-4059
(980) 320-1533
(980) 320-1534
Mailing address
1029 TOMSHIRE DR, GASTONIA, NC 28056-2204
(704) 675-1387
(980) 320-1534
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932586351
—
NC
Enumeration date
05/06/2015
Last updated
01/05/2022
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