Provider Demographics
NPI:1922177898
Name:QUALITY DRUGS INC OF BUTNER
Entity Type:Organization
Organization Name:QUALITY DRUGS INC OF BUTNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:TEAL
Authorized Official - Suffix:
Authorized Official - Credentials:REG PHARMACIST
Authorized Official - Phone:919-575-6571
Mailing Address - Street 1:309 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-2315
Mailing Address - Country:US
Mailing Address - Phone:919-575-6571
Mailing Address - Fax:919-575-9306
Practice Address - Street 1:309 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-2315
Practice Address - Country:US
Practice Address - Phone:919-575-6571
Practice Address - Fax:919-575-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0395526Medicaid
NC0395526Medicaid