Basic Information
| Provider Information | |||||||||
| NPI: | 1124008933 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HUDSON DISCOUNT DRUG | ||||||||
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| Mailing Information | |||||||||
| Address1: | 510 CENTRAL ST | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286382401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287260901 | ||||||||
| FaxNumber: | 8287260436 | ||||||||
| Practice Location | |||||||||
| Address1: | 510 CENTRAL ST | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286382401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8287260901 | ||||||||
| FaxNumber: | 8287260436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HILL | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 8287260901 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | CRTT RCP | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336H0001X | Y | Suppliers | Pharmacy | Home Infusion Therapy Pharmacy |
No ID Information.