Provider Demographics
NPI:1598091076
Name:D-REX DRUGS OF JONESVILLE, INC.
Entity Type:Organization
Organization Name:D-REX DRUGS OF JONESVILLE, INC.
Other - Org Name:D-REX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:HARLEY
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:336-835-6407
Mailing Address - Street 1:450 WINSTON RD.
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28642
Mailing Address - Country:US
Mailing Address - Phone:336-835-6407
Mailing Address - Fax:336-526-8329
Practice Address - Street 1:450 WINSTON RD
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28642-2255
Practice Address - Country:US
Practice Address - Phone:336-835-6407
Practice Address - Fax:336-526-8329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy