Dameron Drug Store, Inc

LBN: Dameron Drug Store, Inc
Dameron Drug Store, Inc is an health care organization with primary practice located at 100 S Main St , Tabor City NC 28463-1910. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Dameron Drug Store, Inc can be contacted via phone (910) 653-3089, or through Lovett, Kelly Fowler via phone (910) 653-3089.

Contact Information

Primary practice address
100 S Main St Tabor City NC 28463-1910
Phone: (910) 653-3089
Fax: (910) 653-5839
Website:
Map and Directions
Authorized official contact:
Name: Lovett, Kelly Fowler PHARMD
Phone: (910) 653-3089

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 00917 North Carolina

Profile Details

NPI number 1962704635
LBN Legal business name Dameron Drug Store, Inc
DBA Doing business as
Authorized official Lovett, Kelly Fowler PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 16 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 1962704635 NPPES
South Carolina MEDICAID 7N0917
South Carolina MEDICAID 0245100
South Carolina Other 3411511

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