Provider Demographics
NPI:1609920982
Name:DRUG RITE, INC.
Entity Type:Organization
Organization Name:DRUG RITE, INC.
Other - Org Name:DREXEL DISCOUNT DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HEILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:828-433-6777
Mailing Address - Street 1:PO BOX 2607
Mailing Address - Street 2:
Mailing Address - City:DREXEL
Mailing Address - State:NC
Mailing Address - Zip Code:28619-2607
Mailing Address - Country:US
Mailing Address - Phone:828-433-6777
Mailing Address - Fax:828-433-1594
Practice Address - Street 1:2728 US 70 E
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6978
Practice Address - Country:US
Practice Address - Phone:828-433-6777
Practice Address - Fax:828-433-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC59543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0125344Medicaid
NC1146290001Medicare ID - Type Unspecified