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NPI Code Detail

MEDICARE: KERR DRUG INC A DELAWARE COMPANY

MEDICARE: KERR DRUG INC A DELAWARE COMPANY
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
1333600000XPharmacy6955NC
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23434583OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1861502569
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERR DRUG INC A DELAWARE COMPANY
Provider Business Mailing Address
First Line : 1141 E MARION ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-4843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1141 E MARION ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-4843
Country : US
Telephone Number : 704-480-1275
Fax Number : 704-480-1780
Authorized Official
Title or Position : PHARMACIST MANAGER
Name : WENDY BENTON
Credential : RPH
Telephone Number : 704-480-1275
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/11/2025

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Directions to “KERR DRUG INC A DELAWARE COMPANY ” Practice Location

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