Organization
MISSION HOSPITAL INC
Active
Other names
Mission Pardee Health Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GENTILCORE PHARMD (DIRECTOR)
(828) 213-0048
Entity
Organization
Contact information
Practice address
2695 HENDERSONVILLE RD, ARDEN, NC 28704-8576
(828) 651-6375
Mailing address
509 BILTMORE AVE, A158, ASHEVILLE, NC 28801-4601
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11562
NORTH CAROLINA BOARD OF PHARMACY
NC
Enumeration date
06/07/2013
Last updated
08/21/2013
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