Healthcare Provider Details

I. General information

NPI: 1184776866
Provider Name (Legal Business Name): D-REX DRUGS OF JONESVILLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 WINSTON ROAD
JONESVILLE NC
28642
US

IV. Provider business mailing address

450 WINSTON ROAD
JONESVILLE NC
28642
US

V. Phone/Fax

Practice location:
  • Phone: 336-835-6407
  • Fax: 336-526-8329
Mailing address:
  • Phone: 336-835-6407
  • Fax: 336-526-8329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number4198
License Number StateNC

VIII. Authorized Official

Name: DAVID MORRISON
Title or Position: PRESIDENT
Credential: RPH
Phone: 336-835-6407