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Organization
VANCE-WARREN COMPREHENSIVE HEALTH PLAN PHARMACY
Active
Organization
VANCE-WARREN COMPREHENSIVE HEALTH PLAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES J WORTH (CEO)
(252) 456-2004
Entity
Organization
Contact information
Practice address
986 MANSON AXTELL ROAD, MANSON, NC 27553-0425
(252) 456-2181
(252) 456-2115
Mailing address
986 MANSON AXTELL ROAD, MANSON, NC 27553-0425
(252) 456-2181
(252) 456-2115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344566B
—
NC
Enumeration date
02/12/2007
Last updated
10/22/2007
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