Provider Demographics
NPI:1902944101
Name:D-REX DRUGS OF JONESVILLE INC
Entity Type:Organization
Organization Name:D-REX DRUGS OF JONESVILLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-835-6407
Mailing Address - Street 1:450 WINSTON ROAD
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28642
Mailing Address - Country:US
Mailing Address - Phone:336-835-6407
Mailing Address - Fax:336-526-8329
Practice Address - Street 1:450 WINSTON ROAD
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28642
Practice Address - Country:US
Practice Address - Phone:336-835-6407
Practice Address - Fax:336-526-8329
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D REX DRUGS OF JONESVILLE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-01
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC046M9OtherBCBS
NC7700649Medicaid
0344300001Medicare ID - Type Unspecified