Healthcare Provider Details

I. General information

NPI: 1992782643
Provider Name (Legal Business Name): STANTONSBURG DRUG COMPANY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SOUTH MAIN STREET
STANTONSBURG NC
27883-0040
US

IV. Provider business mailing address

105 SOUTH MAIN STREET
STANTONSBURG NC
27883-0040
US

V. Phone/Fax

Practice location:
  • Phone: 252-238-3539
  • Fax: 252-238-2749
Mailing address:
  • Phone: 252-238-3539
  • Fax: 252-238-2749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number04037
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number04037
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number04037
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number04037
License Number StateNC

VIII. Authorized Official

Name: MR. ARMIE ROWLAND STRICKLAND JR.
Title or Position: OWNER-MANAGER
Credential: PHARMACIST
Phone: 252-238-3539