Organization
MISSION HOSPITAL INC
Active
Other names
MISSION COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GENTILCORE PHARMD (DIRECTOR OF RETAIL PHARMACY)
(828) 213-0048
Entity
Organization
Contact information
Practice address
2 MEDICAL PARK DR, ASHEVILLE, NC 28803-7782
(828) 213-9470
(828) 274-8586
Mailing address
2 MEDICAL PARK DR, SUITE 100, ASHEVILLE, NC 28803-7782
(828) 213-9470
(828) 274-8586
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09365
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116742
—
NC
01
—
2065937
PK
—
Enumeration date
09/21/2006
Last updated
12/10/2013
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