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Contact Information

GENE ANDERSON DRUG STORE INC.
206 SOUTH POPLAR STREET
ELIZABETHTOWN, NC28337
 Phone: 910-862-8411
 Fax: 910-862-8775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GENE ANDERSON DRUG STORE INC.

NPI Number 1114039260
LBN Legal business name GENE ANDERSON DRUG STORE INC.
Authorized official EUGENE ANDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 04/16/2010 - About 16 years ago
Identifiers
NC License # 1114039260
NC Medicaid 0095208
NC Medicaid 7700957
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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