Organization
GASTON MEMORIAL HOSPITAL, INC
Active
Other names
Gaston Memorial Hospital - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOLBY PHARMD (DIRECTOR OF PHARMACY)
(704) 834-2239
Entity
Organization
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2758
(704) 834-2759
Mailing address
2525 COURT DR, P.O. BOX 1747, GASTONIA, NC 28054-2140
(704) 834-2155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
01191
NC
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365379
—
NC
05
—
3400032
—
NC
01
—
3406407
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/14/2006
Last updated
01/30/2012
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