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Contact Information

WOMBLE DRUG STORE
454 HWY 64 EAST
PLYMOUTH, NC27962
 Phone: 252-793-9036
 Fax: 252-793-1006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WOMBLE DRUG STORE

NPI # 1205934171
LBN Legal business name WOMBLE DRUG STORE
Authorized official JONATHAN LUNDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 02/25/2015 - About 11 years ago
Identifiers
NC License # 10413
NC Medicaid 0945014
Other 3409819 OTHER ID NUMBER-COMMERCIAL NUMBER
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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