| NPI | 1578646519 |
|---|---|
| Doing Business As | SUPER REX DRUGS |
| Entity Type | Organization |
| Authorized Contact | DAVID BALLARD PIC 336-367-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 04148) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-05-20 |