Healthcare Provider Details

I. General information

NPI: 1306888128
Provider Name (Legal Business Name): BAILEY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6311 DEANS ST
BAILEY NC
27807-8641
US

IV. Provider business mailing address

PO BOX 158
BAILEY NC
27807-0158
US

V. Phone/Fax

Practice location:
  • Phone: 252-235-3562
  • Fax: 252-235-2373
Mailing address:
  • Phone: 252-235-3562
  • Fax: 252-235-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number13049
License Number StateNC

VIII. Authorized Official

Name: BLAKE LAMM
Title or Position: OWNER/PIC/PRESIDENT
Credential: PHARM D
Phone: 252-235-3562