Organization
SHELBY DRUGSTORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BROOKS RPH (PHARMACY MANAGER)
(704) 487-2939
Entity
Organization
Contact information
Practice address
701-1 EAST GROVER STREET, SHELBY, NC 28150
(704) 487-2939
(704) 487-2811
Mailing address
701-1 EAST GROVER STREET, SHELBY, NC 28150
(704) 487-2939
(704) 487-2811
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235932
—
NC
05
—
NC0235932
—
NC
Enumeration date
04/04/2008
Last updated
03/07/2023
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