Healthcare Provider Details

I. General information

NPI: 1922159888
Provider Name (Legal Business Name): RX LABOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 E MAIN ST #A
WILLIAMSTON NC
27892-2480
US

IV. Provider business mailing address

112 E MAIN ST #A
WILLIAMSTON NC
27892-2480
US

V. Phone/Fax

Practice location:
  • Phone: 252-792-7841
  • Fax: 252-789-8401
Mailing address:
  • Phone: 252-792-7841
  • Fax: 252-789-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number01464
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number01464
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number01464
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08310
License Number StateNC

VIII. Authorized Official

Name: BARRY DONALD WESTER
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 252-792-7841