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NPI Code Detail

MEDICARE: HARDINS DRUG STORE NO 2 INC

MEDICARE: HARDINS DRUG STORE NO 2 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
13336C0003XCommunity/Retail Pharmacy03811NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NCPDPOTHERNC3418654
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710049291
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARDINS DRUG STORE NO 2 INC
Provider Business Mailing Address
First Line : 1281 US HIGHWAY 221A
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-5921
Country : US
Telephone Number : 828-657-5353
Fax Number : 828-657-5729
Provider Business Practice Location Address
First Line : 1281 US HIGHWAY 221A
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-5921
Country : US
Telephone Number : 828-657-5353
Fax Number : 828-657-5729
Authorized Official
Title or Position : PHARMACIST MANAGER
Name : KERA F. HART
Credential : PHARMD
Telephone Number : 828-657-5353
Provider Enumeration Date : 12/14/2006
Last Update Date : 03/25/2024

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Directions to “HARDINS DRUG STORE NO 2 INC ” Practice Location

Language Start Address Practice Location
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