Organization
CLARKTON DRUG INC.
Active
Other names
CLARKTON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PHILIP STOLL R.PH. (OWNER/PRESIDENT)
(910) 647-0437
Entity
Organization
Contact information
Practice address
80 E GREEN ST, CLARKTON, NC 28433-5003
(910) 647-0437
(910) 647-0696
Mailing address
PO BOX 816, CLARKTON, NC 28433-0816
(910) 647-0437
(910) 647-0696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982797114
—
NC
01
—
2071719
PK
—
Enumeration date
10/02/2006
Last updated
07/06/2023
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