Provider Demographics
NPI:1750489621
Name:AW CASH, INC
Entity Type:Organization
Organization Name:AW CASH, INC
Other - Org Name:DBA ST. PAULS DRUG INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-865-4134
Mailing Address - Street 1:202 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384-1534
Mailing Address - Country:US
Mailing Address - Phone:910-865-4134
Mailing Address - Fax:910-865-1268
Practice Address - Street 1:202 W BROAD ST
Practice Address - Street 2:
Practice Address - City:SAINT PAULS
Practice Address - State:NC
Practice Address - Zip Code:28384-1534
Practice Address - Country:US
Practice Address - Phone:910-865-4134
Practice Address - Fax:910-865-1268
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AW CASH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-21
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02799333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3411371OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NC0785576Medicaid
1045880001Medicare ID - Type Unspecified