Pembroke Drug
LBN: Pembroke Drug Holdings, Llc
Pembroke Drug is an health care organization with primary practice located at 205 W 3Rd St , Pembroke NC 28372-8768. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pembroke Drug Holdings, Llc can be contacted via phone (910) 775-9209, or through Deese, James via phone (910) 734-4896.
Contact Information
Primary practice address
205 W 3Rd St
Pembroke NC 28372-8768
Phone: (910) 775-9209
Fax: (910) 775-9124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 13076 | North Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1588115463 |
|---|---|
| LBN Legal business name | Pembroke Drug Holdings, Llc |
| DBA Doing business as | Pembroke Drug |
| Authorized official | Deese, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2016 |
| Last updated | Jun 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588115463 | NPPES |
| North Carolina | MEDICAID | 1588115463 | |
| North Carolina | Other | 2165767 |
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