Provider Demographics
NPI:1912180902
Name:ALMANDS DRUGSTORE
Entity Type:Organization
Organization Name:ALMANDS DRUGSTORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:KELLI
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:252-446-0014
Mailing Address - Street 1:1329 TARBORO ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-6070
Mailing Address - Country:US
Mailing Address - Phone:252-446-0014
Mailing Address - Fax:252-446-0212
Practice Address - Street 1:1329 TARBORO ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-6070
Practice Address - Country:US
Practice Address - Phone:252-446-0014
Practice Address - Fax:252-446-0212
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKY MOUNT DRUGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3105332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700514Medicaid