Healthcare Provider Details

I. General information

NPI: 1487720132
Provider Name (Legal Business Name): GOLDSBORO DRUG COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N CENTER ST
GOLDSBORO NC
27530-3620
US

IV. Provider business mailing address

PO BOX 760
GOLDSBORO NC
27533-0760
US

V. Phone/Fax

Practice location:
  • Phone: 919-735-1111
  • Fax: 919-735-1117
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number07370
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHARLES RAYNOR
Title or Position: MANAGER
Credential: RPH
Phone: 919-734-3725