| NPI | 1710620935 |
|---|---|
| Doing Business As | MATTHEWS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | TARA JACKSON Owner/Pharmacist 910-592-3121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-08-22 |