Provider Demographics
NPI:1346044039
Name:REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC
Entity type:Organization
Organization Name:REALO DISCOUNT DRUG STORES OF JOHNSTON COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KRISTEN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-527-6929
Mailing Address - Street 1:300 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-4932
Mailing Address - Country:US
Mailing Address - Phone:252-527-6929
Mailing Address - Fax:252-527-5039
Practice Address - Street 1:601 N 8TH ST STE D
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4119
Practice Address - Country:US
Practice Address - Phone:919-934-2111
Practice Address - Fax:919-934-2814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy