Organization
COLUMBUS REGIONAL HEALTHCARE SYSTEM
Active
Other names
Donayre Cancer Care Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARL BIBER (CFO/VP FINANCE)
(910) 642-1773
Entity
Organization
Contact information
Practice address
504 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 640-4075
(910) 640-4616
Mailing address
504 JEFFESON ST, WHITEVILLE, NC 28472
(910) 640-4075
(910) 640-4616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
11104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167224
PK
—
Enumeration date
01/12/2017
Last updated
03/15/2017
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