Provider Demographics
NPI:1518213917
Name:CARTER DRUGS
Entity Type:Organization
Organization Name:CARTER DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHAM D
Authorized Official - Phone:804-647-4809
Mailing Address - Street 1:306 SEABREEZE BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-2814
Mailing Address - Country:US
Mailing Address - Phone:804-647-4809
Mailing Address - Fax:
Practice Address - Street 1:4037 MASONBORO LOOP RD
Practice Address - Street 2:SUITE G
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28409-3682
Practice Address - Country:US
Practice Address - Phone:804-647-4809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy