Kerr Drug

LBN: Kerr Drug Inc
Kerr Drug is an health care organization with primary practice located at 419 W Broad St , Saint Pauls NC 28384-1537. 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. Kerr Drug Inc can be contacted via phone (910) 865-1242, or through Gregory, Mark via phone (919) 544-3896.

Contact Information

Primary practice address
419 W Broad St Saint Pauls NC 28384-1537
Phone: (910) 865-1242
Fax: (910) 865-1590
Website:
Map and Directions
Authorized official contact:
Name: Gregory, Mark RPH
Phone: (919) 544-3896

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 6849 North Carolina

Profile Details

NPI number 1417039215
LBN Legal business name Kerr Drug Inc
DBA Doing business as Kerr Drug
Authorized official Gregory, Mark RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 4th, 2012 - 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 1417039215 NPPES
Other 3434141 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0785633 NCPDP PROVIDER IDENTIFICATION NUMBER

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