Provider Demographics
NPI:1538314182
Name:PRECOTT'S PHARMACIES INC
Entity Type:Organization
Organization Name:PRECOTT'S PHARMACIES INC
Other - Org Name:THE MEDICINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRESCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-892-1177
Mailing Address - Street 1:1402 W CUMBERLAND STREET
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-4504
Mailing Address - Country:US
Mailing Address - Phone:910-892-1177
Mailing Address - Fax:910-892-1177
Practice Address - Street 1:1402 W CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4504
Practice Address - Country:US
Practice Address - Phone:910-892-1177
Practice Address - Fax:910-892-1177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy