Jefferson Drug Store

LBN: Gkb Inc.
Jefferson Drug Store is an health care organization with primary practice located at 418 E Main St , Jefferson NC 28640-0155. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gkb Inc. can be contacted via phone (336) 246-9492, or through Bower, Greg Keith via phone (336) 246-9492.

Contact Information

Primary practice address
418 E Main St Jefferson NC 28640-0155
Fax: (336) 846-9177
Website:
Authorized official contact:
Name: Bower, Greg Keith RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5064 North Carolina

Profile Details

NPI number 1619987385
LBN Legal business name Gkb Inc.
DBA Doing business as Jefferson Drug Store
Authorized official Bower, Greg Keith RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 15th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619987385 NPPES
North Carolina MEDICAID 7700417

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