Woodard Drug Store LLC
Organization Active NPI Community/Retail Pharmacy · Princeton, NC
NPI 1003384652 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1003384652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WOODARD DRUG STORE LLC
- Practice address
- 102 E Edwards St
Princeton, NC 27569-7279 - Phone
- (919) 936-3151
- Fax
- (919) 936-3015
- NPI assigned
- Nov 12, 2018
- Organization subpart
- No
Authorized official
- Name
- William Henry Crocker
- Title
- Owner
- Phone
- (919) 936-3151
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
102 E Edwards St
Princeton, NC 27569-7279
Mailing address
PO Box 5
Princeton, NC 27569-0005
Phone (919) 936-3151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003384652 | Medicaid | NC |
Other providers in Princeton, NC
- Kira Leith Vurlicer
- Wal-Mart Stores East LP
- Deanna Wheeler
- Woodard Drug Store Inc
- Woodard Drug Store Inc
All providers in Princeton, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.