| NPI | 1114039260 |
|---|---|
| Other Name | GENE ANDERSON DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | EUGENE GIBSON ANDERSON Owner 910-862-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 1114039260) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-16 |