Healthcare Provider Details

I. General information

NPI: 1427105584
Provider Name (Legal Business Name): BRISSON DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 W BROAD ST
SAINT PAULS NC
28384-1533
US

IV. Provider business mailing address

217 W BROAD ST
SAINT PAULS NC
28384-1533
US

V. Phone/Fax

Practice location:
  • Phone: 910-865-4135
  • Fax: 910-865-3000
Mailing address:
  • Phone: 910-865-4135
  • Fax: 910-865-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number04927
License Number StateNC

VIII. Authorized Official

Name: JOSEPH WILLIAMS
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 910-865-4135