Provider Demographics
NPI:1114395514
Name:KINSTON CLINIC PHARMACY INC
Entity Type:Organization
Organization Name:KINSTON CLINIC PHARMACY INC
Other - Org Name:DEMPSEY'S DRUGS LA GRANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:DEMPSEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:252-523-3187
Mailing Address - Street 1:701 DOCTORS DR
Mailing Address - Street 2:SUITE P
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1589
Mailing Address - Country:US
Mailing Address - Phone:252-523-3187
Mailing Address - Fax:252-522-2988
Practice Address - Street 1:603 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:NC
Practice Address - Zip Code:28551-9214
Practice Address - Country:US
Practice Address - Phone:252-582-3600
Practice Address - Fax:252-582-3503
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINSTON CLINIC PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-02
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12161333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy