Healthcare Provider Details

I. General information

NPI: 1528137494
Provider Name (Legal Business Name): BOONE DRUG NEW MARKET LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 NEW MARKET CTR
BOONE NC
28607-3993
US

IV. Provider business mailing address

345 DEERFIELD RD
BOONE NC
28607-5009
US

V. Phone/Fax

Practice location:
  • Phone: 828-355-3365
  • Fax: 828-264-0543
Mailing address:
  • Phone: 828-355-3365
  • Fax: 828-264-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number333600000X
License Number StateNC

VIII. Authorized Official

Name: MEGHAN NORRIS
Title or Position: COMPLIANCE OFFICER
Credential: PHARMD
Phone: 828-264-3055