Organization
THE PRESBYTERIAN HOSPITAL
Active
Other names
Novant Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GORDON WRIGHT PHARMD (MANAGER)
(336) 423-7974
Entity
Organization
Contact information
Practice address
125 QUEENS RD STE 180, CHARLOTTE, NC 28204-3215
(704) 316-4180
(980) 302-6185
Mailing address
125 QUEENS RD STE 180, CHARLOTTE, NC 28204-3215
(704) 316-4180
(980) 302-6185
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14987
NCBOP PERMIT NUMBER
NC
Enumeration date
08/13/2020
Last updated
01/18/2023
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