Innes Street Drug Co. Inc. #3

LBN: Innes Street Drug Co. Inc. #3
Innes Street Drug Co. Inc. #3 is an health care organization with primary practice located at 1706 W Innes St , Salisbury NC 28144-2552. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Innes Street Drug Co. Inc. #3 can be contacted via phone (704) 636-1712, or through Fuller, Stephen Weldon via phone (704) 636-1712.

Contact Information

Primary practice address
1706 W Innes St Salisbury NC 28144-2552
Phone: (704) 636-1712
Fax: (704) 637-0324
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Stephen Weldon
Phone: (704) 636-1712

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 05609 North Carolina

Profile Details

NPI number 1568731594
LBN Legal business name Innes Street Drug Co. Inc. #3
DBA Doing business as
Authorized official Fuller, Stephen Weldon
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 13 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 1568731594 NPPES
North Carolina MEDICAID 0805473
North Carolina Other Q371140001

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