| Organization Name: | REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC. |
| NPI Number: | 1063521086 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT JOSEPH MCLAUGHLIN (PRESIDENT) |
| Mailing Address: | 181 Enterprise Ave Cape Carteret |
| State: | NC US |
| Postal Code: | 285842506 |
| Phone Number: | 2523933345 |
| Fax Number: | 2523933346 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 4913000003 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |