Organization
CRISIS CONTROL MINISTRY INC
Active
Other names
Crisis Control Ministry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CRAIGWILDER (PHARMACY MANAGER)
(336) 770-1628
Entity
Organization
Contact information
Practice address
200 E 10TH ST, WINSTON SALEM, NC 27101-1512
(336) 770-1628
(336) 770-1630
Mailing address
200 EAST 10TH STREER, WINSTON SALEM, NC 27101
(336) 770-1628
(336) 770-1630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177135
PK
—
Enumeration date
09/11/2013
Last updated
04/20/2018
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