Organization
JULIAN F. KEITH ALCOHOL & DRUG ABUSE TREATMENT CENTER
Active
Other names
Julian F. Keith Alcohol & Drug Abuse Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE EVANS (DIRECTOR, PHARMACY SERVICES)
(828) 257-6320
Entity
Organization
Contact information
Practice address
201 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-2526
(828) 257-6320
(828) 257-6399
Mailing address
201 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-2526
(828) 257-6320
(828) 257-6399
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
10287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149634
PK
—
Enumeration date
01/30/2015
Last updated
01/30/2015
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