Organization
WINSTON SALEM STATE UNIVERSITY
Active
Parent organization
WINSTON SALEM STATE UNIVERSITY
Other names
WSSU Wellness Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINSTON SALEM STATE UNIVERSITY
Authorized official
BEVERLY IRBY (EXECUTIVE DIRECTOR)
33675098814
Entity
Organization
Contact information
Practice address
601 S MARTIN LUTHER KING JR DR, SUITE 244, WINSTON SALEM, NC 27110-0003
(336) 750-3376
Mailing address
601 S MARTIN LUTHER KING JR DR, SUITE 244, WINSTON SALEM, NC 27110-0003
(336) 750-3376
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12125
NC
Other
Enumeration date
09/18/2014
Last updated
04/21/2017
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