Provider Demographics
NPI:1346381100
Name:HOPE MILLS DRUG
Entity Type:Organization
Organization Name:HOPE MILLS DRUG
Other - Org Name:DBA THE MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:SWARTOUT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:910-424-3100
Mailing Address - Street 1:3127 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1716
Mailing Address - Country:US
Mailing Address - Phone:910-424-3100
Mailing Address - Fax:910-423-4728
Practice Address - Street 1:3127 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1716
Practice Address - Country:US
Practice Address - Phone:910-424-3100
Practice Address - Fax:910-423-4728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0266164Medicaid
NC8082OtherPHARMACY LISCENSE #