Organization
MECKLENBURG COUNTY
Active
Other names
MECKLENBURG COUNTY HEALTH DEPT - NORTHEAST CAMPUS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYNARD E WASHINGTON (HEALTH DIRECTOR)
(980) 579-0671
Entity
Organization
Contact information
Practice address
430 STITT ROAD, MECKLENBURG COUNTY PUBLIC HEALTH DEPARTMENT, CHARLOTTE, NC 28213
(704) 336-6400
(704) 432-0217
Mailing address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(980) 314-9126
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972645422
NPI
NC
Enumeration date
09/09/2022
Last updated
05/04/2023
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