Provider Demographics
NPI:1114541174
Name:NEXT DOOR DRUG PHARMACY, PC
Entity Type:Organization
Organization Name:NEXT DOOR DRUG PHARMACY, PC
Other - Org Name:NEXTDOOR DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:276-210-4048
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-0423
Mailing Address - Country:US
Mailing Address - Phone:276-221-9933
Mailing Address - Fax:276-221-9499
Practice Address - Street 1:932 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266
Practice Address - Country:US
Practice Address - Phone:276-221-9933
Practice Address - Fax:276-221-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty