Provider Demographics
NPI:1770059172
Name:DREXEL DISCOUNT DRUG, LLC
Entity type:Organization
Organization Name:DREXEL DISCOUNT DRUG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:828-320-1996
Mailing Address - Street 1:2728 US 70 E
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-6978
Mailing Address - Country:US
Mailing Address - Phone:828-433-6777
Mailing Address - Fax:828-433-1594
Practice Address - Street 1:2728 US 70 E
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6978
Practice Address - Country:US
Practice Address - Phone:828-433-6777
Practice Address - Fax:828-433-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy