Organization
MISSION HOSPITAL INC
Active
Other names
Mission Pharmacy - Employee Mailorder
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GENTILCORE PHARMD (DIRECTOR-RETAIL PHARMACY)
(828) 213-0048
Entity
Organization
Contact information
Practice address
400 RIDGEFIELD CT STE 106, ASHEVILLE, NC 28806-2213
(828) 257-7057
(828) 257-7059
Mailing address
400 RIDGEFIELD CT, SUITE 106, ASHEVILLE, NC 28806-2213
(828) 257-7057
(828) 257-7059
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
11072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132034
PK
—
Enumeration date
09/21/2011
Last updated
02/16/2017
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