MEDICARE: FUTRELL PHARMACY SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	03288	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2068035	OTHER	PK

General Provider Information

NPI Number	:	1144313578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTRELL PHARMACY SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 768
Second Line	:
City	:	JACKSON
State	:	NC
Zip	:	27845-0768
Country	:	US
Telephone Number	:
Fax Number	:	252-534-1906

Provider Business Practice Location Address
First Line	:	119 W JEFFERSON ST
Second Line	:
City	:	JACKSON
State	:	NC
Zip	:	27845-9599
Country	:	US
Telephone Number	:	252-534-6001
Fax Number	:	252-534-1906

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	WILLIAM R FUTRELL JR.
Credential	:
Telephone Number	:	252-534-6001

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	05/02/2025

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Directions to “FUTRELL PHARMACY SERVICE INC ” Practice Location

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