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THE DRUG STORE INC NPI 1285670174


NPI Information

NPI: 1285670174
Provider Name: THE DRUG STORE INC

Doing Business As: LEGACY CONSULTANT PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3064 SALEM INDUSTRIAL DR
WINSTON SALEM, NC
ZIP 27127
Phone: (336) 831-0500
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THE DRUG STORE INC is a long term care pharmacy pharmacy in Winston Salem, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. THE DRUG STORE INC NPI is 1285670174. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Consultant Pharmacy.

The provider's business location address is:

3064 SALEM INDUSTRIAL DR
WINSTON SALEM, NC
ZIP 27127-854
Phone: (336) 831-0500
Fax: (855) 760-7126

The provider's authorized official is Darrell Holland .
The authorized official title is Executive Manager and has the following contact phone number (888) 729-0729.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 5/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy12913NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12069115OTHERPK
20347064MEDICAIDNORTH CAROLINA
38519412MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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