MEDICARE: PARKER'S DRUG STORE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	06039	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06039	OTHER	NC	PHARMACY PERMIT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477650828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER'S DRUG STORE, INC

Provider Business Mailing Address
First Line	:	4278 E US HIGHWAY 64 ALT
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-6846
Country	:	US
Telephone Number	:	828-837-4145
Fax Number	:	828-837-4675

Provider Business Practice Location Address
First Line	:	4278 E US HIGHWAY 64 ALT
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-6846
Country	:	US
Telephone Number	:	828-837-4145
Fax Number	:	828-837-4675

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	JODY RAY LEE
Credential	:
Telephone Number	:	828-837-4145

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/07/2023

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Directions to “PARKER'S DRUG STORE, INC ” Practice Location

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