Organization
CAROLINAS MEDICAL CENTER
Active
Other names
Atrium Health Pharmacy Myers Park, CMC-MYERS PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON MABE RPH, MBA, MHA (VP PHARMACY SERVICES)
(704) 512-6967
Entity
Organization
Contact information
Practice address
1350 S KINGS DR STE 101, CHARLOTTE, NC 28207-2134
(704) 446-1400
(704) 446-1410
Mailing address
PO BOX 602452, CHARLOTTE, NC 28260-2452
(704) 446-1400
(704) 446-1410
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607556
—
NC
01
—
3427588
NCPDP
—
05
—
7Z1135
—
SC
Enumeration date
08/23/2006
Last updated
08/13/2024
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