Healthcare Provider Details

I. General information

NPI: 1053110924
Provider Name (Legal Business Name): DR PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E WASHINGTON ST
ROCKINGHAM NC
28379-3644
US

IV. Provider business mailing address

304 E WASHINGTON ST
ROCKINGHAM NC
28379-3644
US

V. Phone/Fax

Practice location:
  • Phone: 910-434-8951
  • Fax: 910-434-8953
Mailing address:
  • Phone: 910-434-8951
  • Fax: 910-434-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CRYSTLE TILLIS
Title or Position: OWNER/PHARMACY MANAGER
Credential: RPH
Phone: 910-434-8951