Healthcare Provider Details

I. General information

NPI: 1669570693
Provider Name (Legal Business Name): WAKE FOREST DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3113 ROGERS RD STE 100
WAKE FOREST NC
27587-3803
US

IV. Provider business mailing address

3113 ROGERS RD STE 100
WAKE FOREST NC
27587-3803
US

V. Phone/Fax

Practice location:
  • Phone: 919-554-2199
  • Fax: 919-554-2199
Mailing address:
  • Phone: 919-554-2199
  • Fax: 919-554-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08830
License Number StateNC

VIII. Authorized Official

Name: DEBORAH TOWNSEND
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 919-554-2699