Organization Name: | THE JEFFERSONS DRUG STORES INC |
NPI Number: | 1619160736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MICHAEL BADGER (R.PH.) |
Mailing Address: | 423 E 2nd St West Jefferson |
State: | NC US |
Postal Code: | 286949757 |
Phone Number: | 3362469990 |
Fax Number: | 3362466069 |
NPI Enumeration Date: | 08/22/2007 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 7701140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |