MEDICARE: JAMISON DRUG CENTERS 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	3336C0003X	Community/Retail Pharmacy	5036	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174650949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMISON DRUG CENTERS INC

Provider Business Mailing Address
First Line	:	215 E JEFFERSON ST
Second Line	:	PO BOX 249
City	:	MONROE
State	:	NC
Zip	:	28112-4865
Country	:	US
Telephone Number	:	704-283-8131
Fax Number	:	704-289-1954

Provider Business Practice Location Address
First Line	:	215 E JEFFERSON ST
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28112-4865
Country	:	US
Telephone Number	:	704-283-8131
Fax Number	:	704-289-1954

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MR. DAVID LEE JAMISON
Credential	:	R.PH.
Telephone Number	:	704-283-8131

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “JAMISON DRUG CENTERS INC ” Practice Location

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