Organization
GLENN AND MARTIN DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLAND SHAW OR CINDY SUMMERLIN (PARTNER)
(919) 658-2165
Entity
Organization
Contact information
Practice address
100 S CENTER ST, MT OLIVE, NC 28365
(919) 658-2165
(919) 658-2165
Mailing address
100 S CENTER ST, MT OLIVE, NC 28365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
02304
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965053
—
NC
01
—
3409201
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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