Provider Demographics
NPI:1861716946
Name:KERR DRUG
Entity type:Organization
Organization Name:KERR DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT PHARMACY SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:919-222-3643
Mailing Address - Street 1:140 NC 102 W
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-8792
Mailing Address - Country:US
Mailing Address - Phone:252-746-3026
Mailing Address - Fax:252-746-7953
Practice Address - Street 1:140 NC 102 W
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-8792
Practice Address - Country:US
Practice Address - Phone:252-746-3026
Practice Address - Fax:252-746-7953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC203493336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy