Organization
NORTH CAROLINA A T STATE UNIVERSITY
Active
Other names
Sebastian Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BANNIE H HATCH RPH (PHARMACY MANAGER)
(336) 285-2908
Entity
Organization
Contact information
Practice address
112. N. BENBOW ROAD, GREENSBORO, NC 27411-0001
(336) 285-2908
(336) 256-2903
Mailing address
112. N. BENBOW ROAD, GREENSBORO, NC 27411-0001
(336) 285-2908
(336) 256-2903
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
04312
NC
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3421358
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/01/2010
Last updated
05/27/2016
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