Organization
BLADEN LAKES COMMUNITY HEALTH CENTER
Active
Other names
BLADEN LAKES COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA TRIPP (CEO)
(910) 567-6194
Entity
Organization
Contact information
Practice address
16526 NC HIGHWAY 87 W, TAR HEEL, NC 28392-8608
(910) 972-5720
Mailing address
16526 NC HIGHWAY 87 W, TAR HEEL, NC 28392-8608
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
NC10010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3410494
OTHER ID NUMBER
—
Enumeration date
03/10/2008
Last updated
01/18/2022
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