Provider Demographics
NPI:1184671125
Name:B & B PHARMACY
Entity Type:Organization
Organization Name:B & B PHARMACY
Other - Org Name:OWENS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAMPBELL COBB
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-859-9181
Mailing Address - Street 1:38 N TRADE ST
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782
Mailing Address - Country:US
Mailing Address - Phone:828-859-9181
Mailing Address - Fax:828-859-9271
Practice Address - Street 1:38 N TRADE ST
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782
Practice Address - Country:US
Practice Address - Phone:828-859-9181
Practice Address - Fax:828-859-9271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02189183500000X
NC09373183500000X
NC05250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0755017Medicaid
NC0755017Medicaid