Super Rex Drugs

LBN: Walden Associates Inc
Super Rex Drugs is an health care organization with primary practice located at 106 E Main St , Boonville NC 27011-8764. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walden Associates Inc can be contacted via phone (336) 367-5333, or through Ballard, David via phone (336) 367-5333.

Contact Information

Primary practice address
106 E Main St Boonville NC 27011-8764
Phone: (336) 367-5333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballard, David RPH
Phone: (336) 367-5333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04148 North Carolina
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1578646519
LBN Legal business name Walden Associates Inc
DBA Doing business as Super Rex Drugs
Authorized official Ballard, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated May 20th, 2015 - about 11 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 1578646519 NPPES
North Carolina MEDICAID 0995118
North Carolina Other 2069029

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