Provider Demographics
NPI:1669649133
Name:DILWORTH DRUGS, LLC
Entity Type:Organization
Organization Name:DILWORTH DRUGS, LLC
Other - Org Name:DILWORTH DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:HAMILTON
Authorized Official - Last Name:RIMANY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-965-6042
Mailing Address - Street 1:1300 B EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5802
Mailing Address - Country:US
Mailing Address - Phone:704-910-4288
Mailing Address - Fax:704-910-4294
Practice Address - Street 1:1300 B EAST BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5802
Practice Address - Country:US
Practice Address - Phone:704-910-4288
Practice Address - Fax:704-910-4294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10074333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy