Organization
MECKELNBURG COUNTY
Active
Other names
Mecklenburg County Health Dept - Northwest Campus
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNARD E WASHINGTON PHD (HEALTH DIRECTOR)
(980) 579-0671
Entity
Organization
Contact information
Practice address
2845 BEATTIES FORD RD, CHARLOTTE, NC 28216-3711
(704) 432-0343
(704) 432-0347
Mailing address
2845 BEATTIES FORD RD, CHARLOTTE, NC 28216-3711
(704) 432-0343
(704) 432-0347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073893319
—
NC
01
—
3459179
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2011
Last updated
02/01/2022
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