Organization
BEACH RX, INC.
Active
Other names
BEACH PHARMACY OF HATTERAS
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THORNBROUGH (PRESIDENT/PHARMACIST)
(252) 986-2400
Entity
Organization
Contact information
Practice address
57353 NC HIGHWAY 12, TAMS PLAZA, HATTERAS, NC 27943-0428
(252) 986-2400
(252) 986-5363
Mailing address
P.O. BOX 428, HATTERAS, NC 27943
(252) 986-2400
(252) 986-5363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285221
—
NC
01
—
2070275
PK
—
Enumeration date
08/20/2006
Last updated
06/20/2022
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