Provider Demographics
NPI:1255824538
Name:DR PHARMACY, INC
Entity Type:Organization
Organization Name:DR PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-817-7005
Mailing Address - Street 1:118 HOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-8728
Mailing Address - Country:US
Mailing Address - Phone:910-417-8129
Mailing Address - Fax:
Practice Address - Street 1:304 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3644
Practice Address - Country:US
Practice Address - Phone:910-817-7005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy