| Organization Name: | PEMBROKE DRUG CENTER, INC. |
| NPI Number: | 1154425569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY BROOKS (PRESIDENT) |
| Mailing Address: | 209 W. 3rd St Pembroke |
| State: | NC US |
| Postal Code: | 283721030 |
| Phone Number: | 9105220009 |
| Fax Number: | 9105215654 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 332BX2000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |