Organization
OAKWOOD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STEPHEN JARED SR. RPH (MANAGER OWNER)
(252) 442-8159
Entity
Organization
Contact information
Practice address
329 N FAIRVIEW RD, ROCKY MOUNT, NC 27801
(252) 442-8159
(252) 442-0332
Mailing address
329 N FAIRVIEW RD, ROCKY MOUNT, NC 27801
(252) 442-8159
(252) 442-0332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02429
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
02429
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335075
—
NC
01
—
0441E
BCBS
NC
01
—
3401964
NABP
—
05
—
7701166
—
NC
Enumeration date
07/14/2006
Last updated
04/16/2008
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