Provider Demographics
NPI:1942397146
Name:SCOTLAND APOTHECARY INC
Entity Type:Organization
Organization Name:SCOTLAND APOTHECARY INC
Other - Org Name:SCOTLAND DRUG COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:910-276-3001
Mailing Address - Street 1:140 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-3815
Mailing Address - Country:US
Mailing Address - Phone:910-276-3001
Mailing Address - Fax:910-276-3006
Practice Address - Street 1:140 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-3815
Practice Address - Country:US
Practice Address - Phone:910-276-3001
Practice Address - Fax:910-276-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
NCNC098373336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2066234OtherPK
NC0835280Medicaid
3408172OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NC5969090001Medicare NSC