Organization
CAROLINA COMPOUNDING CENTER INC
Active
Other names
CAROLINA COMPOUNDING CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CAMP PHD (PRESIDENT)
(919) 751-2600
Entity
Organization
Contact information
Practice address
1208 PARKWAY DR STE B, GOLDSBORO, NC 27534-9432
(919) 751-2600
(919) 751-2030
Mailing address
1208 PARKWAY DR STE B, GOLDSBORO, NC 27534-9432
(919) 751-2600
(919) 751-2030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
08123
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965631
—
NC
01
—
2069386
PK
—
Enumeration date
08/10/2006
Last updated
03/06/2017
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