| Organization Name: | REALO DISCOUNT DRUG STORES OF GREENE CO., INC |
| NPI Number: | 1184949810 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM ROBERT BIZZELL (PRESIDENT) |
| Mailing Address: | 104 Parkwood Dr Snow Hill |
| State: | NC US |
| Postal Code: | 285801336 |
| Phone Number: | 2527477004 |
| Fax Number: | 2527471029 |
| NPI Enumeration Date: | 04/06/2010 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 10514 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |