Provider Demographics
NPI:1326516576
Name:CLAYTON DRUGS LLC
Entity Type:Organization
Organization Name:CLAYTON DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VANITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOGENDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-308-9013
Mailing Address - Street 1:2028 ADDENBROCK DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8623
Mailing Address - Country:US
Mailing Address - Phone:919-439-1025
Mailing Address - Fax:
Practice Address - Street 1:11391 US 70 BUS HWY W
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2205
Practice Address - Country:US
Practice Address - Phone:919-800-7485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORGAN STREET PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy