NPI 1255896015 · live from the CMS NPI Registry
Andersons Drug Store LLC
Pharmacy, Community/Retail Pharmacy in Elizabethtown, NC. National Provider Identifier 1255896015, active.
NPI record
| NPI | 1255896015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 206 S. Poplar St., Elizabethtown, NC 28337 |
| Practice phone | 910-862-8411 |
| Mailing address | Po Box 730, Elizabethtown, NC 28337 |
| Enumerated | February 6, 2019 |
| Last updated | May 2, 2019 |
| Authorized official | Genese Peed, Pharmacist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.