Organization
BLACK RIVER HEALTH SERVICES INC
Active
Other names
Atkinson Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE CHAPMAN MCDERMOTT PHARMD (PHARMACIST)
(910) 283-5400
Entity
Organization
Contact information
Practice address
124 W MAIN ST, ATKINSON, NC 28421-0069
(910) 283-5400
(910) 283-7336
Mailing address
124 W MAIN ST, ATKINSON, NC 28421-0069
(910) 283-5400
(910) 283-7338
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715269
—
NC
01
—
2164625
PK
—
Enumeration date
10/24/2016
Last updated
02/05/2024
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