Organization
HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY RUNELL SMITH (OWNER)
(910) 892-4224
Entity
Organization
Contact information
Practice address
200 N ELLIS AVE, DUNN, NC 28334-3807
(910) 892-4224
(910) 892-6821
Mailing address
200 N ELLIS AVE, DUNN, NC 28334
(910) 892-4224
(910) 892-6821
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435073
—
NC
Enumeration date
10/02/2007
Last updated
10/02/2007
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