Provider Demographics
NPI:1184414435
Name:NORTHWESTERN DRUG COMPANY INC
Entity type:Organization
Organization Name:NORTHWESTERN DRUG COMPANY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:ICARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-632-2271
Mailing Address - Street 1:255 NC HIGHWAY 16 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-3048
Mailing Address - Country:US
Mailing Address - Phone:828-632-2271
Mailing Address - Fax:828-632-2220
Practice Address - Street 1:255 NC HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-3048
Practice Address - Country:US
Practice Address - Phone:828-632-2271
Practice Address - Fax:828-632-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy