Provider Demographics
NPI:1053110924
Name:DR PHARMACY, INC
Entity type:Organization
Organization Name:DR PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:910-434-8951
Mailing Address - Street 1:304 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3644
Mailing Address - Country:US
Mailing Address - Phone:910-434-8951
Mailing Address - Fax:910-434-8953
Practice Address - Street 1:304 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3644
Practice Address - Country:US
Practice Address - Phone:910-434-8951
Practice Address - Fax:910-434-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy