Dickersons Pharmacy Inc
LBN: Dickersons Pharmacy Inc
Dickersons Pharmacy Inc is an health care organization with primary practice located at 503 Doctors Dr , Elizabethtown NC 28337. 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.
Dickersons Pharmacy Inc can be contacted via phone (910) 862-3465, or through Dickerson, Bruce via phone (910) 862-3465.
Contact Information
Primary practice address
503 Doctors Dr
Elizabethtown NC 28337
Phone: (910) 862-3465
Fax: (910) 862-4917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 04491 | North Carolina |
Profile Details
| NPI number | 1871658039 |
|---|---|
| LBN Legal business name | Dickersons Pharmacy Inc |
| DBA Doing business as | Dickersons Pharmacy Inc |
| Authorized official | Dickerson, Bruce RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jan 18th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871658039 | NPPES |
| North Carolina | MEDICAID | 0095182 | |
| North Carolina | Other | 2065838 | |
| North Carolina | MEDICAID | 7701212 |
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