Organization
BSE, INC.
Active
Other names
The Medicine Shoppe 0230
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HESTER MD (PRESIDENT)
(910) 863-3949
Entity
Organization
Contact information
Practice address
102 SOUTH MAIN ST, BLADENBORO, NC 28320
(910) 863-3949
(910) 863-3940
Mailing address
PO BOX 508, BLADENBORO, NC 28320-0508
(910) 863-3949
(910) 863-3940
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095166
—
NC
01
—
3416282
NABP
NC
Enumeration date
02/10/2011
Last updated
02/10/2011
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