Provider Demographics
NPI:1093035933
Name:BISCOE PHARMACY, INC.
Entity Type:Organization
Organization Name:BISCOE PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:CHAVIS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-638-8408
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:BISCOE
Mailing Address - State:NC
Mailing Address - Zip Code:27209-0249
Mailing Address - Country:US
Mailing Address - Phone:910-638-8408
Mailing Address - Fax:
Practice Address - Street 1:2295 NC HIGHWAY 24/27 EAST
Practice Address - Street 2:
Practice Address - City:BISCOE
Practice Address - State:NC
Practice Address - Zip Code:27209-0249
Practice Address - Country:US
Practice Address - Phone:910-638-8408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy