Organization
PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER
Active
Organization
PHARMACY OF J IVERSON RIDDLE DEVELOPMENT CENTER
Active
Other names
J IVERSON RIDDLE DEVELOPMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SWEARINGEN RPH (DIRECTOR OF PHCY SVCS)
(828) 433-2683
Entity
Organization
Contact information
Practice address
300 ENOLA RD, PHARMACY DEPARTMENT, MORGANTON, NC 28655-4608
(828) 433-2653
(828) 433-2894
Mailing address
CBO DHHS CONTROLLERS OFC, 2021 MAIL SERVICE CENTER, RALEIGH, NC 27699-0001
(919) 733-9867
(919) 733-1512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
02677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066483
PK
—
05
—
3406014
—
NC
Enumeration date
12/15/2006
Last updated
03/07/2024
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