Provider Demographics
NPI:1679668438
Name:HAMLIN DRUG CO., INC
Entity Type:Organization
Organization Name:HAMLIN DRUG CO., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:919-828-2391
Mailing Address - Street 1:126 E HARGETT ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1440
Mailing Address - Country:US
Mailing Address - Phone:919-828-2392
Mailing Address - Fax:919-828-2485
Practice Address - Street 1:126 E HARGETT ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1440
Practice Address - Country:US
Practice Address - Phone:919-828-2392
Practice Address - Fax:919-828-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC926022Medicaid
AC2121325OtherDRUG ENFORCEMENT AGENCY