Innes Street Drug Company

LBN: Innes Street Drug Company
Innes Street Drug Company is an health care organization with primary practice located at 1706 W Innes St , Salisbury NC 28144-2552. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Innes Street Drug Company can be contacted via phone (704) 636-1712, or through Fuller, James 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, James
Phone: (704) 636-1712

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 05609 North Carolina

Profile Details

NPI number 1912949710
LBN Legal business name Innes Street Drug Company
DBA Doing business as Innes Street Drug Company
Authorized official Fuller, James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 17th, 2014 - about 10 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 1912949710 NPPES
North Carolina MEDICAID 0805473
North Carolina Other 2067260

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