Healthcare Provider Details
I. General information
NPI: 1669719373
Provider Name (Legal Business Name): DRUGCO SPECIALTY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2013
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
96 DODD ST.
SPRING HOPE NC
27882
US
IV. Provider business mailing address
107 SMITH CHURCH RD
ROANOKE RAPIDS NC
27870-4911
US
V. Phone/Fax
- Phone: 252-537-7010
- Fax: 252-537-7010
- Phone: 252-537-7010
- Fax: 252-410-0743
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DREW
HUGGINS
Title or Position: COO
Credential: RPH
Phone: 252-519-1144