NPI 1306945480

Mast Drug Co INC

Organisation Long Term Care Pharmacy Clemmons, NC

Practice location

Address: 6000 Meadowbrook Mall CT STE 200, Clemmons, NC 27012-8112
Phone: (336) 712-0280
Fax: (336) 766-7208
Mailing address: 1910 Ross Mill Rd, Henderson, NC 27537-8789

Authorised official

Name: Polly Beal
Title: Adm Mgr
Phone: (252) 438-3112

Registered specialties

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X Licence 05626 (NC)

Other Pharmacy providers in North Carolina →

Registry record

NPI: 1306945480
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 16 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.