Healthcare Provider Details

I. General information

NPI: 1134120017
Provider Name (Legal Business Name): ASHER-MCADAMS DRUG CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 TROLLINGER ST
BURLINGTON NC
27215-2227
US

IV. Provider business mailing address

305 TROLLINGER ST
BURLINGTON NC
27215-2227
US

V. Phone/Fax

Practice location:
  • Phone: 336-226-1619
  • Fax: 336-226-1610
Mailing address:
  • Phone: 336-226-1619
  • Fax: 336-226-1610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number00086
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JACK W MCADAMS
Title or Position: PRESIDENT
Credential: RPH
Phone: 336-226-1619