| Organization Name: | W C ROSE DRUG STORE INC |
| NPI Number: | 1831252311 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM CARROLL ROSE (PRESIDENT) |
| Mailing Address: | 303 Nash St W Wilson |
| State: | NC US |
| Postal Code: | 278933834 |
| Phone Number: | 2522371188 |
| Fax Number: | 2522061990 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 04464 |
| 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 |