Organization
GOSHEN MEDICAL CENTER INCORPORATED
Active
Other names
GMC FAISON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M BOUNDS (CEO)
(910) 267-1237
Entity
Organization
Contact information
Practice address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 718-5200
Mailing address
444 SW CENTER ST, FAISON, NC 28341-8820
(910) 718-5200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
01/27/2020
Last updated
10/28/2022
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